Provider Demographics
NPI:1881868453
Name:NOYES, KATHY ELIZABETH
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:ELIZABETH
Last Name:NOYES
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 1:418 BENT OAK LOOP
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-5786
Mailing Address - Country:US
Mailing Address - Phone:863-424-6018
Mailing Address - Fax:
Practice Address - Street 1:418 BENT OAK LOOP
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-5786
Practice Address - Country:US
Practice Address - Phone:863-424-6018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency