Provider Demographics
NPI:1982915476
Name:ALBER, KATHARINE RENEE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:RENEE
Last Name:ALBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KATHARINE
Other - Middle Name:RENEE
Other - Last Name:WITHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:600 EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514
Mailing Address - Country:US
Mailing Address - Phone:574-523-3160
Mailing Address - Fax:574-523-3221
Practice Address - Street 1:600 EAST BLVD
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514
Practice Address - Country:US
Practice Address - Phone:574-523-3160
Practice Address - Fax:574-523-3221
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018811207P00000X
IN02004446A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine