Provider Demographics
NPI:1669586889
Name:DOWD, KATHRYN R (AUD, CCCA, FAAA)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:R
Last Name:DOWD
Suffix:
Gender:F
Credentials:AUD, CCCA, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S SHARON AMITY ROAD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3871
Mailing Address - Country:US
Mailing Address - Phone:704-944-4283
Mailing Address - Fax:704-944-4285
Practice Address - Street 1:135 S SHARON AMITY ROAD
Practice Address - Street 2:SUITE 208
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-3871
Practice Address - Country:US
Practice Address - Phone:704-944-4283
Practice Address - Fax:704-944-4285
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1661237600000X
NC418237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC29134OtherBLUE CROSS BLUE SHEILD NC
NCC9298OtherMEDCOST PROVIDER NUMBER
NC2343353OtherAETNA HMO PROVIDER #
NC740123XMedicaid
NC3404281Medicaid
NC5926060OtherAETNA NON-HMO PROV #
NC37287OtherPARTNERS PROVIDER #
NC4543021OtherUNITED HEALTHCARE PROV #
NC6278199002OtherCIGNA PROVIDER NUMBER
SCSAN034Medicaid
NCC9298OtherMEDCOST PROVIDER NUMBER