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NPI Code Detail

MEDICARE: DR. KATHERINE LUCIA GUTIERREZ DPM

MEDICARE: DR. KATHERINE LUCIA GUTIERREZ DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery PodiatristSC007337PA
2213ES0103XFoot & Ankle Surgery PodiatristE6204CA

General Provider Information

NPI Number : 1902509961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE LUCIA GUTIERREZ DPM
Provider Business Mailing Address
First Line : 2701 HOLME AVE STE 204
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2029
Country : US
Telephone Number : 215-335-6055
Fax Number :
Provider Business Practice Location Address
First Line : 2601 HOLME AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 215-335-6055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 04/09/2026

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