Kathryn Proffitt Kephart, PT
Physical Therapist in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1316630189
StatusActive
Last updated in NPPESOct 29, 2024
Details
- NPI
- 1316630189
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Proffitt Kephart
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2023
- Certification date
- Oct 29, 2024
- Last updated
- Oct 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305215700 | VA | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Katie Proffitt (Other Name)
Practice location
1628 Laskin Rd Ste 706Virginia Beach, VA 23451-7504
Phone 757-481-0052
Mailing address
Po Box 412307Boston, MA 02241-2307
Phone 914-294-4050
Other practice locations
150 Burnetts Way Ste 230
Suffolk, VA 23434-8168
Suffolk, VA 23434-8168
Phone 757-942-2022
12610 Patrick Henry Dr Ste H
Newport News, VA 23602-9538
Newport News, VA 23602-9538
Phone 757-874-1470 · Fax 757-874-1472
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