Provider Demographics
NPI:1407343197
Name:DENNY, KATHRYN J (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:J
Last Name:DENNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 OGLETOWN STANTON RD STE 2103
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-8000
Mailing Address - Country:US
Mailing Address - Phone:302-623-4410
Mailing Address - Fax:
Practice Address - Street 1:4735 OGLETOWN STANTON RD STE 2103
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-8000
Practice Address - Country:US
Practice Address - Phone:302-623-4410
Practice Address - Fax:302-623-4415
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD477454207VG0400X
DEC1-0027343207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty