Mahoney, Kaitlin

Mahoney, Kaitlin is an sole proprietor health care provider with primary practice located at 250 S Main Street Suite 224A, Blacksburg VA 24060-4726. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Mahoney, Kaitlin can be contacted via phone (540) 552-7133.

Contact Information

Primary practice address
250 S Main Street Suite 224A Blacksburg VA 24060-4726
Phone: (540) 552-7133
Fax: (540) 552-7143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0102206749 Virginia

Profile Details

NPI number 1871034850
LBN Legal business name Mahoney, Kaitlin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2017
Last updated Mar 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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