KATHLEEN EYSENBACH NPI 1740541374

NPI Information

NPI: 1740541374
Provider Name: KATHLEEN EYSENBACH
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
OLD DOMINION UNIVERSITY
WEBB CENTER STUDENT HEALTH CENTER
NORFOLK, VA
ZIP 23529
Phone: (757) 683-3132
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Kathleen Eysenbach is a medical physician assistant in Norfolk, VA. Kathleen Eysenbach NPI is 1740541374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

OLD DOMINION UNIVERSITY
WEBB CENTER STUDENT HEALTH CENTER
NORFOLK, VA
ZIP 23529-001
Phone: (757) 683-3132

The enumeration date for this NPI number is 5/30/2012 and was last updated on 5/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110000121	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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