Provider Demographics
NPI:1932267127
Name:HARBOR, CATHRYN KAYLOR (MD)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:KAYLOR
Last Name:HARBOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1506
Mailing Address - Street 2:104 S JEFFERSON ST
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2027
Mailing Address - Country:US
Mailing Address - Phone:540-463-2882
Mailing Address - Fax:540-463-2829
Practice Address - Street 1:104 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2027
Practice Address - Country:US
Practice Address - Phone:540-463-2882
Practice Address - Fax:540-463-2829
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050011207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
316104OtherSOUTHERN HEALTH
179539OtherANTHEM
4316010OtherCIGNA
4316010OtherCIGNA
00W891R01Medicare ID - Type Unspecified