Provider Demographics
NPI:1851331110
Name:CURTIS, KATHLEEN MARGRET (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARGRET
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3745 HOLLAND RD STE 200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2866
Mailing Address - Country:US
Mailing Address - Phone:757-395-1700
Mailing Address - Fax:757-507-9004
Practice Address - Street 1:3998 FAIR RIDGE DR
Practice Address - Street 2:SUITE 280
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2907
Practice Address - Country:US
Practice Address - Phone:703-352-0500
Practice Address - Fax:703-352-0669
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052910207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA950530M82Medicare ID - Type Unspecified
VAG34143Medicare UPIN