Pond, Kathryn A

Pond, Kathryn A is an individual health care provider with primary practice located at 5818 Harbour View Blvd Ste 240, Suffolk VA 23435-3315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pond, Kathryn A can be contacted via phone (757) 483-6100.

Contact Information

Primary practice address
5818 Harbour View Blvd Ste 240 Suffolk VA 23435-3315
Phone: (757) 483-6100
Fax: (757) 673-5950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024113609 Virginia

Profile Details

NPI number 1154305795
LBN Legal business name Pond, Kathryn A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 17 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 1154305795 NPPES
Other C05825 MEDICARE GROUP
Other 42486N MEDICARE GROUP
Other C13214 MEDICARE GROUP
Other 541870984006 MEDICARE GROUP

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