Provider Demographics
NPI:1689728214
Name:PETERS, KATHERINE BARNETT (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:BARNETT
Last Name:PETERS
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Gender:F
Credentials:MD PHD
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Mailing Address - Street 1:047 BAKER HOUSE, TRENT DRIVE
Mailing Address - Street 2:DUMC 3624
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710
Mailing Address - Country:US
Mailing Address - Phone:919-684-5301
Mailing Address - Fax:919-684-6674
Practice Address - Street 1:047 BAKER HOUSE, TRENT DRIVE
Practice Address - Street 2:DUMC 3624
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-684-5301
Practice Address - Fax:919-684-6674
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00653732084N0400X
NC2009-004042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology