Provider Demographics
NPI:1457328361
Name:MARKELL, KATHARINE WOLCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:WOLCOTT
Last Name:MARKELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHARINE
Other - Middle Name:ELIZABETH
Other - Last Name:WOLCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3551 ROGER BROOKE DR BLDG 3600
Mailing Address - Street 2:
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-3774
Mailing Address - Fax:210-916-6658
Practice Address - Street 1:3551 ROGER BROOKE DRIVE, BLDG 3600
Practice Address - Street 2:BROOKE ARMY MEDICAL CENTER - DEPT OF SURGERY
Practice Address - City:FT. SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-916-1153
Practice Address - Fax:210-916-2202
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22776208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery