Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | C1-0011903 | DE |
N | 207VG0400X | Gynecologist | 2006027162 | MO |
NPI | 1013044189 |
---|---|
Provider Name | Dr. Katherine J Hladky |
First Address | Newark, DE 19718-2200 |
Second Address | Newark, DE 19718-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 29/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205476500 | (05) | MO |
I73603 | (02) |