Provider Demographics
NPI:1083053821
Name:TAYLOR, KATHRINE COLLEEN (MD)
Entity Type:Individual
Prefix:
First Name:KATHRINE
Middle Name:COLLEEN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:245 N. 15TH STREET, MS495
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102
Mailing Address - Country:US
Mailing Address - Phone:215-762-8220
Mailing Address - Fax:215-762-1470
Practice Address - Street 1:245 N 15TH ST # MS 495
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1101
Practice Address - Country:US
Practice Address - Phone:215-762-8220
Practice Address - Fax:215-762-1470
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT204103207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology