Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 53847 | KY |
NPI | 1194130948 |
---|---|
Provider Name | Dr. Katherine Mckenna Kottwitz |
First Address | Louisville, KY 40222-6622 |
Second Address | Louisville, KY 40222-3460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2014 |
Last Update Date | 30/07/2020 |