Healthcare Provider Details

I. General information

NPI: 1316057482
Provider Name (Legal Business Name): KATHERINE M KAPLAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/25/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8516 JOHNSON MILL RD
BAHAMA NC
27503-9239
US

IV. Provider business mailing address

8516 JOHNSON MILL RD
BAHAMA NC
27503-9239
US

V. Phone/Fax

Practice location:
  • Phone: 715-387-5161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number27911
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number38525
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: