| Doctor Name: | MRS. KATHLEEN A STORM |
| NPI Number: | 1043342603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.R.N.P. |
| License Number: | R064798 |
| Business Practice Address: | 12510 Ocean Gtwy Ocean City, MD - 218429690 |
| Business Phone Number: | 4102131228 |
| Business Fax Number: | |
| Mailing Address: | 12510 Ocean Gtwy, OCEAN CITY |
| State: | MD |
| Postal Code: | 218429690 |
| Phone Number: | 4102131228 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 02/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R064798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |