Provider Demographics
NPI:1801130638
Name:DANLEY, KATHERINE LANGFORD
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LANGFORD
Last Name:DANLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 GALLATIN PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2602
Mailing Address - Country:US
Mailing Address - Phone:615-226-6804
Mailing Address - Fax:615-228-1517
Practice Address - Street 1:3410 GALLATIN PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2602
Practice Address - Country:US
Practice Address - Phone:615-226-6804
Practice Address - Fax:615-228-1517
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist