Provider Demographics
NPI:1689998668
Name:COREY, KATHARINE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:ANNE
Last Name:COREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:ANNE
Other - Last Name:GUTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3633 136TH PLACE SE
Mailing Address - Street 2:SUITE #110
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3633 136TH PLACE SE
Practice Address - Street 2:SUITE #110
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006
Practice Address - Country:US
Practice Address - Phone:425-747-7202
Practice Address - Fax:425-643-0635
Is Sole Proprietor?:No
Enumeration Date:2010-03-20
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 60374340208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics