Provider Demographics
NPI:1417131848
Name:NASE, KATHY L (DO)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:NASE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 RICH HILL RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-5202
Mailing Address - Country:US
Mailing Address - Phone:215-536-0956
Mailing Address - Fax:
Practice Address - Street 1:127 S 5TH ST STE 170
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1682
Practice Address - Country:US
Practice Address - Phone:215-536-2887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006247L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine