Provider Demographics
NPI:1639468234
Name:HOES, KATHRYN SIMONE (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SIMONE
Last Name:HOES
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 1:12680 PERRY HWY STE 170
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8887
Mailing Address - Country:US
Mailing Address - Phone:412-802-3350
Mailing Address - Fax:412-748-4215
Practice Address - Street 1:12680 PERRY HWY STE 170
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8887
Practice Address - Country:US
Practice Address - Phone:412-802-3350
Practice Address - Fax:412-748-4215
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD479104207T00000X
IN01080144A207T00000X
TXS1414207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program