Provider Demographics
NPI:1477955110
Name:MAYFIELD, KATHERINE (RCS)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MAYFIELD
Suffix:
Gender:F
Credentials:RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:PERKIOMENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18074-0174
Mailing Address - Country:US
Mailing Address - Phone:267-272-5281
Mailing Address - Fax:
Practice Address - Street 1:1803 HENDRICKS RD
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1302
Practice Address - Country:US
Practice Address - Phone:267-272-5281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA00013375246W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology