Provider Demographics
NPI:1881008084
Name:ANDREWS, KATHRYN (CFM)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 NEUSE BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4317
Mailing Address - Country:US
Mailing Address - Phone:252-638-1312
Mailing Address - Fax:252-638-4648
Practice Address - Street 1:2111 NEUSE BLVD
Practice Address - Street 2:STE. B
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4317
Practice Address - Country:US
Practice Address - Phone:252-638-1312
Practice Address - Fax:252-638-4648
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCFM02837224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter