Individual
DR. KATHRYN A. HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
43 OLD SOLOMONS ISLAND ROAD, SUITE 201, ANNAPOLIS, MD 21401
(410) 266-3888
(410) 266-3880
Mailing address
PO BOX 428, CHESTER, MD 21619
(410) 266-3888
(410) 266-3880
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
S01447
MD
111NS0005X
Sports Physician Chiropractor
S01447
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089
BCBS-DC PROVIDER ID
DC
01
—
239091
UHC,MAMSI,MDIPA,OPTCH ID
MD
01
—
521800109
TAX ID#
MD
01
—
M339KA
CAREFIRST BCBS MD PROV ID
MD
Enumeration date
08/20/2005
Last updated
07/20/2020
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