Healthcare Provider Details

I. General information

NPI: 1285894535
Provider Name (Legal Business Name): KATHERINE LINNEA HARVEY M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 KENNEDY DR SMILOW CANCER HOSPITAL -TORRINGTON CARE CENTER
TORRINGTON CT
06790-3096
US

IV. Provider business mailing address

200 KENNEDY DR SMILOW CANCER HOSPITAL -TORRINGTON CARE CENTER
TORRINGTON CT
06790-3096
US

V. Phone/Fax

Practice location:
  • Phone: 860-482-5384
  • Fax: 860-496-4951
Mailing address:
  • Phone: 860-482-5384
  • Fax: 860-496-4951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number236792
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number54202
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number54202
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: