Most Relevant Information
Provider Data
| NPI Number: | 1003801028 |
| Provider Name: | PAMELA KAVANAUGH DOUGLAS MSN,APRN,BC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 0015000655 |
Most Important Dates
| Enumeration Date: | 09/15/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6722 PATTERSON AVE
SUITE B
RICHMOND
VA
232263419
Practice Location Phone/Fax
| Phone: | 8042824000 |
| Fax: | 8042827799 |
Provider Mailing Location
6722 PATTERSON AVE
SUITE B
RICHMOND
VA
232263419
Provider Mailing Phone/Fax
| Phone: | 8042824000 |
| Fax: | 8042827799 |