Individual
KATRINA CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 ANNAPOLIS RD, ODENTON, MD 21113-1637
(410) 874-1400
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(585) 275-4174
(585) 442-6580
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D85951
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
05/04/2022
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