Individual
KATHLEEN MATHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 N CHARLES ST STE 411, BALTIMORE, MD 21204-5803
(443) 849-2707
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0042844
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517340000
—
MD
Enumeration date
09/14/2006
Last updated
11/08/2011
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