Provider Demographics
NPI:1497948848
Name:HARMON, KATE MARIE
Entity Type:Individual
Prefix:MS
First Name:KATE
Middle Name:MARIE
Last Name:HARMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6153 CAROLYN DR
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-3705
Mailing Address - Country:US
Mailing Address - Phone:440-622-1681
Mailing Address - Fax:
Practice Address - Street 1:6153 CAROLYN DR
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-3705
Practice Address - Country:US
Practice Address - Phone:440-622-1681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2400575171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor