Provider Demographics
NPI:1336226554
Name:ERDWINN, KATHERINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:M
Last Name:ERDWINN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:P.O DRAWER PH
Mailing Address - Street 2:CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Mailing Address - City:CHINLE
Mailing Address - State:AZ
Mailing Address - Zip Code:86503
Mailing Address - Country:US
Mailing Address - Phone:928-674-7383
Mailing Address - Fax:928-674-7600
Practice Address - Street 1:CORNER OF HWY 191 AND IR 102
Practice Address - Street 2:INDIAN HEALTH SERVICE, CHINLE COMPREHENSIVE HEALTH CARE
Practice Address - City:CHINLE
Practice Address - State:AZ
Practice Address - Zip Code:86503
Practice Address - Country:US
Practice Address - Phone:928-674-7383
Practice Address - Fax:928-674-7600
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2012-06-01
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Provider Licenses
StateLicense IDTaxonomies
NH151832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry