Provider Demographics
NPI:1346547304
Name:BORSE, KATHERINE LEE (AP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LEE
Last Name:BORSE
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S PALMWAY
Mailing Address - Street 2:APT. NO. 2
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-4673
Mailing Address - Country:US
Mailing Address - Phone:561-951-6610
Mailing Address - Fax:561-828-2891
Practice Address - Street 1:301 S PALMWAY
Practice Address - Street 2:APT. NO. 2
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-4673
Practice Address - Country:US
Practice Address - Phone:561-951-6610
Practice Address - Fax:561-828-2891
Is Sole Proprietor?:No
Enumeration Date:2011-02-27
Last Update Date:2011-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2940171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist