Basic Information
Provider Information
NPI: 1770928251
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAMERON
FirstName: KATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 9910 FRANKLIN SQUARE DR STE 2110
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212364902
CountryCode: US
TelephoneNumber: 4109336423
FaxNumber:  
Practice Location
Address1: 10751 FALLS ROAD
Address2: CONCOURSE, SUITE 280
City: LUTHERVILLE
State: MD
PostalCode: 21093
CountryCode: US
TelephoneNumber: 4105832750
FaxNumber: 4105832766
Other Information
ProviderEnumerationDate: 05/09/2013
LastUpdateDate: 09/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 09/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMT203629PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XD90137MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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