Provider Demographics
NPI:1821153933
Name:CALHOUN, KATHRYN CAMPBELL (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:CAMPBELL
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:AIMEE
Other - Last Name:CALHOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5909 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:SUITE 720
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:770-928-2276
Mailing Address - Fax:770-592-2092
Practice Address - Street 1:5909 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE 720
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:770-928-2276
Practice Address - Fax:770-592-2092
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT185918207V00000X
GA67113207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology