Provider Demographics
NPI:1457582504
Name:BROTHERS, KATHERINE LOUISE (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:LOUISE
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:LOUISE
Other - Last Name:MCDERMOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 W 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-6116
Mailing Address - Country:US
Mailing Address - Phone:209-261-0008
Mailing Address - Fax:209-384-0348
Practice Address - Street 1:205 W 14TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-6116
Practice Address - Country:US
Practice Address - Phone:209-261-0008
Practice Address - Fax:209-384-0348
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator