Pack, Kathleen M

Pack, Kathleen M is an individual health care provider with primary practice located at 8266 Atlee Rd Suite 230, Mechanicsville VA 23116-1804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pack, Kathleen M can be contacted via phone (804) 730-0792.

Contact Information

Primary practice address
8266 Atlee Rd Suite 230 Mechanicsville VA 23116-1804
Phone: (804) 730-0792
Fax: (804) 746-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166085 Virginia

Profile Details

NPI number 1659300598
LBN Legal business name Pack, Kathleen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jun 6th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659300598 NPPES
Virginia MEDICAID 010257239

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