MEDICARE: KATHRYN CONARD

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	122300000X	Dentist	8501	NC

General Provider Information

NPI Number	:	1750682209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN CONARD

Provider Business Mailing Address
First Line	:	20 BROADVIEW RD
Second Line	:
City	:	WAYNESVILLE
State	:	NC
Zip	:	28786-3515
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 BROADVIEW RD
Second Line	:
City	:	WAYNESVILLE
State	:	NC
Zip	:	28786-3515
Country	:	US
Telephone Number	:	828-452-1187
Fax Number	:

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

Provider Enumeration Date	:	11/14/2010
Last Update Date	:	11/14/2010

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Directions to “ KATHRYN CONARD ” Practice Location

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