Kathryn Ianniello PA

NPI 1114005410 - Physician Assistant - 363A00000X

NPI Details
NPI 1114005410
Gender Female
Enumeration Date 11/02/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1250 E MARSHALL ST
SURGERY/CARDIAC AND THORACIC
RICHMOND VA, 23298-5051, US
Phone (804) 828-4628
Fax (804) 628-0537
Business Location
PO BOX 91734
RICHMOND VA, 23291-1734, US
Phone (804) 358-6100
Fax (804) 342-7619
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110001271
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According to our database, Ms. Kathryn Ianniello PA NPI is 1114005410, taxonomy code is 363A00000X and license number is 0110001271, license state is located at Virginia. Kathryn Ianniello PA physically located at 1250 E Marshall St, Richmond VA, 23298-5051. NPI Number Kathryn Ianniello PA has the Individual type.

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1114005410 NPI number is provided on an as is basis without warranty of any kind. 1114005410 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn Ianniello PA are for informational purposes only.