Provider Demographics
NPI:1104136340
Name:O'DAY, KATHARINE (NHCM)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:O'DAY
Suffix:
Gender:F
Credentials:NHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 605
Mailing Address - Street 2:
Mailing Address - City:FITZWILLIAM
Mailing Address - State:NH
Mailing Address - Zip Code:03447-0605
Mailing Address - Country:US
Mailing Address - Phone:603-674-7198
Mailing Address - Fax:
Practice Address - Street 1:103 NH ROUTE 119 W
Practice Address - Street 2:
Practice Address - City:FITZWILLIAM
Practice Address - State:NH
Practice Address - Zip Code:03447-3317
Practice Address - Country:US
Practice Address - Phone:603-674-7198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1045176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife