Provider Demographics
NPI:1790459881
Name:MCCURDY, KATHERINE (PHARMD, RP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:PHARMD, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:NE
Mailing Address - Zip Code:69022-6597
Mailing Address - Country:US
Mailing Address - Phone:308-697-3400
Mailing Address - Fax:
Practice Address - Street 1:624 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:NE
Practice Address - Zip Code:69022-6597
Practice Address - Country:US
Practice Address - Phone:308-697-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist