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NPI Code Detail

MEDICARE: MS. KATHERINE C HOOD P.A.C.

MEDICARE: MS. KATHERINE C HOOD P.A.C.
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
1363A00000XPhysician AssistantC01629MD

General Provider Information

NPI Number : 1902847007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE C HOOD P.A.C.
Provider Business Mailing Address
First Line : 2000 MEDICAL PKWY STE 409
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3746
Country : US
Telephone Number : 443-481-6598
Fax Number : 443-481-4151
Provider Business Practice Location Address
First Line : 2000 MEDICAL PKWY STE 101
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3743
Country : US
Telephone Number : 410-268-8862
Fax Number : 410-268-0380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/01/2024

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