Provider Demographics
NPI:1578043303
Name:KNAUS, KATHLEEN VALENZI
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:VALENZI
Last Name:KNAUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 LEE STREET
Mailing Address - Street 2:BOX 800672
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-0816
Mailing Address - Country:US
Mailing Address - Phone:434-924-2642
Mailing Address - Fax:434-924-1139
Practice Address - Street 1:1215 LEE STREET
Practice Address - Street 2:DEPT MAIL 800672
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-0816
Practice Address - Country:US
Practice Address - Phone:434-924-2642
Practice Address - Fax:434-924-1139
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program