Provider Demographics
NPI:1821832718
Name:BELL, KATHERYN
Entity type:Individual
Prefix:
First Name:KATHERYN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATEY
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 SYCAMORE ST APT 152
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-2628
Mailing Address - Country:US
Mailing Address - Phone:812-309-8770
Mailing Address - Fax:
Practice Address - Street 1:1 SYCAMORE ST APT 152
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-2628
Practice Address - Country:US
Practice Address - Phone:812-309-8770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program