Provider Demographics
NPI:1255901567
Name:KEARNS, KATERINA (MD)
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:KEARNS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:YEKATERINA
Other - Middle Name:
Other - Last Name:BELOGRIVTSEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2818 N CENTRE ST # 1
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-5304
Mailing Address - Country:US
Mailing Address - Phone:508-221-3904
Mailing Address - Fax:
Practice Address - Street 1:3401 N BROAD ST FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5189
Practice Address - Country:US
Practice Address - Phone:215-707-4353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT222857207ZC0006X, 207ZP0101X
MDD0102830207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology