Doctor Name: | DR. KARA J WATERS |
NPI Number: | 1124196886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | EC-05-169 |
Business Practice Address: | 7801 Old Branch Ave Ste 300 Clinton, MD - 207351608 |
Business Phone Number: | 3018566718 |
Business Fax Number: | 3018566722 |
Mailing Address: | 7801 Old Branch Ave, Ste 300 CLINTON |
State: | MD |
Postal Code: | 207351608 |
Phone Number: | 3018566718 |
Fax Number: | 3018566722 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | EC-05-169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |