Provider Demographics
NPI:1619297074
Name:GUNTER, KATHRYN SNOWDY (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SNOWDY
Last Name:GUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 HIGHWAY 71 S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-2816
Mailing Address - Country:US
Mailing Address - Phone:979-732-6552
Mailing Address - Fax:979-732-2056
Practice Address - Street 1:1860 HIGHWAY 71 S
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-2816
Practice Address - Country:US
Practice Address - Phone:979-732-6552
Practice Address - Fax:979-732-2056
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2100208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice