Provider Demographics
NPI:1437563392
Name:HEDIAN, KATHERINE ADELICIA (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ADELICIA
Last Name:HEDIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:ADELICIA
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2256 IRISH RD.
Mailing Address - Street 2:SOUTHERN ALBEMARLE FAMILY PRACTICE
Mailing Address - City:ESMONT
Mailing Address - State:VA
Mailing Address - Zip Code:22937
Mailing Address - Country:US
Mailing Address - Phone:434-286-3602
Mailing Address - Fax:434-286-3819
Practice Address - Street 1:2256 IRISH RD.
Practice Address - Street 2:SOUTHERN ALBEMARLE FAMILY PRACTICE
Practice Address - City:ESMONT
Practice Address - State:VA
Practice Address - Zip Code:22937
Practice Address - Country:US
Practice Address - Phone:434-286-3602
Practice Address - Fax:434-286-3819
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVED0417207Q00000X
VA0102204855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine