KATHLEEN EYSENBACH
NPI 1740541374
Physician Assistant - Medical in Norfolk, VA

Q: What is Kathleen Eysenbach's NPI number?

The NPI number for Kathleen Eysenbach is 1740541374. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Q: What is Kathleen Eysenbach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since May 30, 2012

OLD DOMINION UNIVERSITY, WEBB CENTER STUDENT HEALTH CENTER, NORFOLK, VA 23529(757) 683-3132 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kathleen Eysenbach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN EYSENBACH (NPI 1740541374) is an individual medical provider in Norfolk, Virginia, licensed in Virginia (0110000121) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1740541374

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKATHLEEN EYSENBACH

Location AddressOLD DOMINION UNIVERSITY, WEBB CENTER STUDENT HEALTH CENTERNorfolk, VA 23529-0001

Mailing AddressOld Dominion University, Webb Center Student Health CenterNorfolk, VA 23529-0001

Phone(757) 683-3132

Sole ProprietorNo

Enumeration DateMay 30, 2012

✔ NPI 1740541374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110000121

OLD DOMINION UNIVERSITY, Norfolk, VA 23529

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JANELLE A PRINCE ATC

Specialist/Technologist (Athletic Trainer)

OLD DOMINION UNIVERSITY
NORFOLK, VA 23529

Norfolk City (860) 987-8075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Eysenbach's NPI number?

The NPI number for Kathleen Eysenbach is 1740541374. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Kathleen Eysenbach located?

Kathleen Eysenbach practices at Old Dominion University Webb Center Student Health Center, Norfolk, VA 23529. The listed phone number is (757) 683-3132.

What is Kathleen Eysenbach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kathleen Eysenbach was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.