Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | S03582 | MD |
NPI | 1316219603 |
---|---|
Provider Name | Dr. Katherine A Poe |
First Address | Oxon Hill, MD 20745-3149 |
Second Address | Oxon Hill, MD 20745-3149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2012 |
Last Update Date | 01/02/2012 |