Provider Demographics
NPI:1093786238
Name:POKORNY, KATHERINE JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JEAN
Last Name:POKORNY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 JOHN PAUL JONES CIR
Mailing Address - Street 2:BLDG 1 ROOM C208B
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-7476
Mailing Address - Fax:757-953-7478
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:BLDG 1 ROOM C208B
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-7476
Practice Address - Fax:757-953-7478
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001121149163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management