Healthcare Provider Details

I. General information

NPI: 1255901567
Provider Name (Legal Business Name): KATERINA KEARNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YEKATERINA BELOGRIVTSEVA MD

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
BALTIMORE MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5000
  • Fax:
Mailing address:
  • Phone: 410-933-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMT222857
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberD0102830
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License NumberMT222857
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: