Healthcare Provider Details

I. General information

NPI: 1063737773
Provider Name (Legal Business Name): KATHERINE S PERRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 MEDICAL PKWY STE 230
ANNAPOLIS MD
21401-3282
US

IV. Provider business mailing address

2002 MEDICAL PKWY STE 230
ANNAPOLIS MD
21401-3282
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-3900
  • Fax: 888-223-8242
Mailing address:
  • Phone: 410-266-3900
  • Fax: 888-223-8242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD79041
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: