MEDICARE: DR. KATHRINE ELOWE ADAMS D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	291493	NY

General Provider Information

NPI Number	:	1316185457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRINE ELOWE ADAMS D.O.

Provider Business Mailing Address
First Line	:	830 WASHINGTON ST
Second Line	:
City	:	WATERTOWN
State	:	NY
Zip	:	13601-4034
Country	:	US
Telephone Number	:	315-786-4955
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 E LAS OLAS BLVD
Second Line	:	FORT LAUDERDALE HOSPITAL
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2357
Country	:	US
Telephone Number	:	954-453-8651
Fax Number	:	954-525-2584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	02/08/2018

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