Provider Demographics
NPI:1376802918
Name:KAWOLA-MCADAM, KATE (AUD)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:
Last Name:KAWOLA-MCADAM
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:KAWOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:950 ROUTE 146 STE 200
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3667
Mailing Address - Country:US
Mailing Address - Phone:518-383-4273
Mailing Address - Fax:518-383-4274
Practice Address - Street 1:950 ROUTE 146 STE 200
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3667
Practice Address - Country:US
Practice Address - Phone:518-383-4273
Practice Address - Fax:518-383-4274
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000038890237600000X
NY002497-01231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter