Provider Demographics
NPI:1255594255
Name:HUMM, KATHRYN C (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:C
Last Name:HUMM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9600 BLACKWELL RD STE 500
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3783
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9601 BLACKWELL RD STE 400
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3472
Practice Address - Country:US
Practice Address - Phone:301-340-1188
Practice Address - Fax:855-716-1603
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD77915207VE0102X
MA250169207VE0102X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics