Healthcare Provider Details

I. General information

NPI: 1326265786
Provider Name (Legal Business Name): KATHRYN SARAH ROBINETT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN SARAH WALD M.D.

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

PO BOX 64442
BALTIMORE MD
21264-4442
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-1512
  • Fax: 410-328-0177
Mailing address:
  • Phone: 410-328-1512
  • Fax: 410-328-0177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD68167
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: