Provider Demographics
NPI:1194462044
Name:SCHALK, KATHARINE EGAN
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:EGAN
Last Name:SCHALK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:ELIZABETH
Other - Last Name:EGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1502 KINGS VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-2749
Mailing Address - Country:US
Mailing Address - Phone:760-696-2227
Mailing Address - Fax:
Practice Address - Street 1:1502 KINGS VALLEY CT
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-2749
Practice Address - Country:US
Practice Address - Phone:760-696-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program