KATHRYN CABOT SELF MD
NPI 1811976319
Pediatrics in Martinsville, VA

Q: What is Kathryn Self's NPI number?

The NPI number for Kathryn Self is 1811976319. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Kathryn Self's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Self was last updated on July 26, 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.

Active since January 12, 2006

1109 BROOKDALE ST, SUITE C, MARTINSVILLE, VA 24112(276) 666-7545(276) 632-0912 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryn Cabot Self Md NPPES

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

KATHRYN CABOT SELF MD (NPI 1811976319) is an individual pediatrics provider in Martinsville, Virginia, licensed in Virginia (0101227849) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1811976319

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHRYN CABOT SELFCredential: MD

Location Address1109 BROOKDALE ST, SUITE CMartinsville, VA 24112-4543

Mailing Address1109 Brookdale St, Suite CMartinsville, VA 24112-4543 · (276) 666-7545 · Fax (276) 632-0912

Phone(276) 666-7545

Fax(276) 632-0912

Sole ProprietorNo

Enumeration DateJanuary 12, 2006

Last NPPES UpdateJuly 26, 2012

✔ NPI 1811976319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in VA · 0101227849✔ Licensed in UT · 7725550-8017

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1109 BROOKDALE ST, Martinsville, VA 24112

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Other Identifiers 2

Medicare PINU000070907UT

Medicaid1811976319UT

Other Providers at the Same Location NPPES

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

MEDICAL SERVICES OF AMERICA INC

Durable Medical Equipment & Medical Supplies

1109 BROOKDALE ST, STE A
MARTINSVILLE, VA 24112

Martinsville City (276) 666-9800

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 Kathryn Self's NPI number?

The NPI number for Kathryn Self is 1811976319. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Kathryn Self located?

Kathryn Self practices at 1109 Brookdale St Suite C, Martinsville, VA 24112. The listed phone number is (276) 666-7545.

What is Kathryn Self's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kathryn Self was last updated on July 26, 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.