Individual
MS. KATHLEEN A HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 N WOLFE STREET, BLALOCK 1415, BALTIMORE, MD 21287-0005
(410) 955-1675
(410) 955-8309
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R079156
MD
367500000X
Certified Registered Nurse Anesthetist
RN61347
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543201401
—
MD
Enumeration date
08/20/2006
Last updated
03/10/2021
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