Individual
KATHERINE W TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
C130001159
DE
152W00000X
Optometrist
OE005871T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000536722
—
DE
01
—
0555350001
MEDICARE DME
—
05
—
07038510
—
PA
Enumeration date
07/29/2005
Last updated
10/18/2019
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