Healthcare Provider Details

I. General information

NPI: 1588927818
Provider Name (Legal Business Name): KATHERINE FOLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STATE ST FL 4
ERIE PA
16507-1427
US

IV. Provider business mailing address

300 STATE ST
ERIE PA
16507-1427
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-8680
  • Fax: 814-456-9613
Mailing address:
  • Phone: 814-877-8680
  • Fax: 814-456-9613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD453468
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: