Healthcare Provider Details

I. General information

NPI: 1063905339
Provider Name (Legal Business Name): KATHRYN ABELL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 L ST NW
WASHINGTON DC
20037-1527
US

IV. Provider business mailing address

676 N SAINT CLAIR ST STE 1000
CHICAGO IL
60611-2976
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036159946
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO210011760
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: