Provider Demographics
NPI:1831232719
Name:ORLOWSKI, KATHERINE KEITH (DC)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:KEITH
Last Name:ORLOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MISSOURI AVE
Mailing Address - Street 2:PO BOX 904
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-2609
Mailing Address - Country:US
Mailing Address - Phone:417-256-5880
Mailing Address - Fax:417-256-5880
Practice Address - Street 1:301 MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2609
Practice Address - Country:US
Practice Address - Phone:417-256-5880
Practice Address - Fax:417-256-5880
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO005828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO32021Medicare ID - Type Unspecified