Provider Demographics
NPI:1912961814
Name:WALDEN, KATHERINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:M
Last Name:WALDEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4029 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-2763
Mailing Address - Country:US
Mailing Address - Phone:269-381-9511
Mailing Address - Fax:269-381-9512
Practice Address - Street 1:4029 W MAIN ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-2763
Practice Address - Country:US
Practice Address - Phone:269-381-9511
Practice Address - Fax:269-381-9512
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010713702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry