| Doctor Name: | KATHERINE B LIVINGSTON |
| NPI Number: | 1104221399 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R209124 |
| Business Practice Address: | 110 Hospital Rd Suite 211 Prince Frederick, MD - 206784019 |
| Business Phone Number: | 4105355610 |
| Business Fax Number: | |
| Mailing Address: | 110 Hospital Rd, Suite 211 PRINCE FREDERICK |
| State: | MD |
| Postal Code: | 206784019 |
| Phone Number: | 4105355610 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | R209124 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |