Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 0101252954 | VA |
NPI | 1144464678 |
---|---|
Provider Name | Katherine L Coffey-Vega |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22901-5731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 30/07/2021 |