Provider Demographics
NPI:1902847007
Name:HOOD, KATHERINE C (PAC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:C
Last Name:HOOD
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:2000 MEDICAL PKWY STE 409
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3746
Mailing Address - Country:US
Mailing Address - Phone:443-481-6598
Mailing Address - Fax:443-481-4151
Practice Address - Street 1:2000 MEDICAL PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3743
Practice Address - Country:US
Practice Address - Phone:410-268-8862
Practice Address - Fax:410-268-0380
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC01629363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS69529Medicare UPIN
MDK727G005Medicare PIN