Provider Demographics
NPI:1841838182
Name:GARVEY, KATHERINE 'KATIE' JO
Entity type:Individual
Prefix:
First Name:KATHERINE 'KATIE'
Middle Name:JO
Last Name:GARVEY
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 1:475 ATKINSON DR APT 1201
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4715
Mailing Address - Country:US
Mailing Address - Phone:636-432-2033
Mailing Address - Fax:
Practice Address - Street 1:475 ATKINSON DR APT 1201
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4715
Practice Address - Country:US
Practice Address - Phone:636-432-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI90182163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics