Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E10000092 | DE |
N | 222Z00000X | Podiatrist | E10000092 | DE |
Y | 213E00000X | Podiatrist | SC003303L | PA |
Y | 222Z00000X | Podiatrist | SC003303L | PA |
NPI | 1023048568 |
---|---|
Provider Name | Dr. Katherine Sydnor |
First Address | Kennett Square, PA 19348-1704 |
Second Address | Kennett Square, PA 19348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 18/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000227517 | (05) | DE |
001211467 | (05) | PA |
T73035 | (02) |