Provider Demographics
NPI:1609020973
Name:VANSLYKE, KATHARINE MCKNIGHT (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:MCKNIGHT
Last Name:VANSLYKE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:885 KEMPSVILLE RD STE 320
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3800
Mailing Address - Country:US
Mailing Address - Phone:757-955-2828
Mailing Address - Fax:757-955-2829
Practice Address - Street 1:885 KEMPSVILLE RD STE 320
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3800
Practice Address - Country:US
Practice Address - Phone:757-955-2828
Practice Address - Fax:757-955-2829
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201416207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine