Healthcare Provider Details

I. General information

NPI: 1174785653
Provider Name (Legal Business Name): KATHERINE SHEA RINKES AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 STORRINGTON DR
FREDERICK MD
21702-5141
US

IV. Provider business mailing address

1001 STORRINGTON DR
FREDERICK MD
21702-5141
US

V. Phone/Fax

Practice location:
  • Phone: 301-685-3698
  • Fax:
Mailing address:
  • Phone: 301-685-3698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number01225
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: