Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 06245 | MD |
Y | 225XF0002X | Feeding, Eating & Swallowing | 06245 | MD |
N | 225XP0200X | Occupational Therapist - Pediatrics | 06245 | MD |
NPI | 1346557857 |
---|---|
Provider Name | Katherine Anne Kinsey |
First Address | Baltimore, MD 21213-3939 |
Second Address | Baltimore, MD 21205-1832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2010 |
Last Update Date | 07/09/2010 |