Provider Demographics
NPI:1174831333
Name:ARMSTRONG, KATIE SESSOMS
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:SESSOMS
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 W SALUDA HALL RD
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-8113
Mailing Address - Country:US
Mailing Address - Phone:252-332-5201
Mailing Address - Fax:
Practice Address - Street 1:222 W SALUDA HALL RD
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-8113
Practice Address - Country:US
Practice Address - Phone:252-332-5201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-046--023261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care