Katebowersmd
Pediatrics in Midlothian, VA. Organization (NPI-2).
NPI number1982191540
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1982191540
- Entity type
- Organization (NPI-2)
- Legal business name
- Katebowersmd
- Organization subpart
- No
- Enumeration date
- Apr 19, 2018
- Certification date
- Sep 16, 2025
- Last updated
- Sep 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0101256070 | VA | Yes |
Other names
- Firefly Pediatrics (Doing Business As)
Practice location
2820 Waterford Lake Dr Ste 102Midlothian, VA 23112-3994
Phone 804-372-3473 · Fax 804-322-5201
Mailing address
2820 Waterford Lake Dr Ste 102Midlothian, VA 23112-3994
Phone 804-372-3473 · Fax 804-322-5201
Authorized official
Katharine Blair Bowers
Owner/Ceo
5136871524
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- Roxana Gabriella Bantle, MDNPI 1417906801
- Peter Patrick Blakey, M.D.NPI 1659385987
- Katharine Blair Bowers, M.D.NPI 1740570803
- Debra L Cantor, MDNPI 1700855624
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All 44 Pediatrics Physician providers in Midlothian · All 3,080 providers in Midlothian
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