NPI 1134653389

Katherine Freeman

Practitioner Prevention Professional Gloucester, VA

Practice location

Address: 6680 Short Ln, Gloucester, VA 23061-4410
Phone: (804) 693-2526

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 0126001924 (VA)

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Registry record

NPI: 1134653389
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2017
Record last updated: 14 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.