Provider Demographics
NPI:1326305145
Name:SCHWEIER, KATHRYN FONTAINE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:FONTAINE
Last Name:SCHWEIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:RENEE
Other - Last Name:FONTAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7505 OSLER DR.
Mailing Address - Street 2:SUITE #104
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7737
Mailing Address - Country:US
Mailing Address - Phone:410-337-8888
Mailing Address - Fax:410-825-4833
Practice Address - Street 1:7505 OSLER DR
Practice Address - Street 2:SUITE 104
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7737
Practice Address - Country:US
Practice Address - Phone:410-337-8888
Practice Address - Fax:410-825-4833
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0005089363A00000X
MDC05089363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD318000YNDZMedicare PIN