Individual
KATHRYN ELIZABETH FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACAGNP-BC
Contact information
Practice address
1002 BON SECOURS DR, SUFFOLK, VA 23435
(757) 541-1110
(757) 541-1119
Mailing address
PO BOX 639971, CINCINNATI, OH 45263-9971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024182240
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
I HAVE NONE
—
Enumeration date
07/19/2021
Last updated
08/19/2025
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