Provider Demographics
NPI:1972715860
Name:FLORENDO, KATHERINE NOELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:NOELLE
Last Name:FLORENDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8705 HERRING CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4346
Mailing Address - Country:US
Mailing Address - Phone:901-753-1379
Mailing Address - Fax:901-753-1379
Practice Address - Street 1:PEDIATRIX MEDICAL GROUP
Practice Address - Street 2:4401 WORNALL ROAD
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111
Practice Address - Country:US
Practice Address - Phone:816-932-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN385262080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine