Provider Demographics
NPI:1487917571
Name:DIPASQUALE SEELIG, KATHLEEN D (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:D
Last Name:DIPASQUALE SEELIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 WESTOVER HILLS BLVD STE 1A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3153
Mailing Address - Country:US
Mailing Address - Phone:804-293-0821
Mailing Address - Fax:866-293-4719
Practice Address - Street 1:1405 WESTOVER HILLS BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-3153
Practice Address - Country:US
Practice Address - Phone:804-293-0821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116025062207Q00000X
VA0101257974207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine