Petro, Kathleen R

Petro, Kathleen R is an individual health care provider with primary practice located at 2921 Telestar Ct , Falls Church VA 22042-1205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Petro, Kathleen R can be contacted via phone (703) 280-5858.

Contact Information

Primary practice address
2921 Telestar Ct Falls Church VA 22042-1205
Phone: (703) 280-5858
Fax: (703) 849-0874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X D0056845 Maryland
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 0101248624 Virginia

Profile Details

NPI number 1659395739
LBN Legal business name Petro, Kathleen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 24th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659395739 NPPES
District of Columbia MEDICAID 021602900
District of Columbia MEDICAID 906001401

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