Provider Demographics
NPI:1902871130
Name:LAW, KATHERINE P (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:P
Last Name:LAW
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5320 PROVIDENCE RD
Mailing Address - Street 2:STE 301
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464
Mailing Address - Country:US
Mailing Address - Phone:757-413-7600
Mailing Address - Fax:757-413-7601
Practice Address - Street 1:5320 PROVIDENCE RD
Practice Address - Street 2:STE 301
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464
Practice Address - Country:US
Practice Address - Phone:757-413-7600
Practice Address - Fax:757-413-7601
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101035582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B07434Medicare UPIN