Provider Demographics
NPI:1912563701
Name:WALDROP, CATHERINE EDWARDS (DVM)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:EDWARDS
Last Name:WALDROP
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:EDWARDS
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5914 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3329
Mailing Address - Country:US
Mailing Address - Phone:913-722-5566
Mailing Address - Fax:
Practice Address - Street 1:5914 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3329
Practice Address - Country:US
Practice Address - Phone:913-722-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8592207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS8592OtherVETERINARY LICENSE NUMBER