Provider Demographics
NPI:1134109580
Name:KIMBALL-EAYRS, CATHERINE ANNE (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNE
Last Name:KIMBALL-EAYRS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:WRNMMC, DEPT OF PEDS
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-7851
Mailing Address - Fax:301-295-6173
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:WRNMMC, DEPT OF PEDS
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-7851
Practice Address - Fax:301-295-6173
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD418580208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics