Provider Demographics
NPI:1750628236
Name:KINSEY, CATHERINE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:KINSEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10806 MARGATE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1614
Mailing Address - Country:US
Mailing Address - Phone:315-222-3148
Mailing Address - Fax:
Practice Address - Street 1:10806 MARGATE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1614
Practice Address - Country:US
Practice Address - Phone:315-222-3148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY591319163W00000X
MDR203924163W00000X, 367500000X
SC109335163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse