Provider Demographics
NPI:1821484924
Name:ANKRUM, KATHERINE ANNE (MS,CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANNE
Last Name:ANKRUM
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:ANNE
Other - Last Name:JAHNKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC-A
Mailing Address - Street 1:107 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-4214
Mailing Address - Country:US
Mailing Address - Phone:641-752-0471
Mailing Address - Fax:
Practice Address - Street 1:101 IOWA AVE W
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4768
Practice Address - Country:US
Practice Address - Phone:641-754-6701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00297231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist