Provider Demographics
NPI:1578156865
Name:ALSOP, KATHRINE F (ND)
Entity Type:Individual
Prefix:DR
First Name:KATHRINE
Middle Name:F
Last Name:ALSOP
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:KATHRINE
Other - Middle Name:F
Other - Last Name:WOODALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:1000 S HAMILTON ST STE H
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3197
Mailing Address - Country:US
Mailing Address - Phone:847-744-8484
Mailing Address - Fax:
Practice Address - Street 1:1000 S HAMILTON ST STE H
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3197
Practice Address - Country:US
Practice Address - Phone:847-744-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1079175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath