Self, Kathryn Cabot

Self, Kathryn Cabot is an individual health care provider with primary practice located at 1109 Brookdale St Suite C, Martinsville VA 24112-4543. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Self, Kathryn Cabot can be contacted via phone (276) 666-7545.

Contact Information

Primary practice address
1109 Brookdale St Suite C Martinsville VA 24112-4543
Phone: (276) 666-7545
Fax: (276) 632-0912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101227849 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7725550-8017 Utah

Profile Details

NPI number 1811976319
LBN Legal business name Self, Kathryn Cabot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 26th, 2012 - about 14 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 1811976319 NPPES
Utah MEDICAID 1811976319

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