Provider Demographics
NPI:1366821472
Name:CONSTANT-KNOWLES, KATHRINE (DC)
Entity Type:Individual
Prefix:
First Name:KATHRINE
Middle Name:
Last Name:CONSTANT-KNOWLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:994 KEMPTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-1524
Mailing Address - Country:US
Mailing Address - Phone:508-993-3444
Mailing Address - Fax:508-993-4150
Practice Address - Street 1:994 KEMPTON ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-1524
Practice Address - Country:US
Practice Address - Phone:508-993-3444
Practice Address - Fax:508-993-4150
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU71765OtherFIRST SENIORITY
MA000000027526OtherBOSTON MEDICAL CENTER HEALTH NET
MA0022051OtherNEIGHBORHOOD HEALTH CARE
MA2137030OtherAETNA
MA1320821801OtherCIGNA
MA44-00491OtherUNITED HEALTH CARE
MA351233OtherHARVARD PILGRIM HEALTH CARE
MAY36479OtherBLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA410868OtherTUFTS HEALTH CARE
MAU71765OtherFIRST SENIORITY