Provider Demographics
NPI:1588964233
Name:KALINOWSKI, KATHERINE HANSEN (ANP-BC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:HANSEN
Last Name:KALINOWSKI
Suffix:
Gender:F
Credentials:ANP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:047 BAKER HOUSE TRENT DR
Mailing Address - Street 2:DUMC BOX 3624
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-8391
Mailing Address - Fax:919-668-7884
Practice Address - Street 1:047 BAKER HOUSE TRENT DR
Practice Address - Street 2:DUMC BOX 3624
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-8391
Practice Address - Fax:919-668-7884
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004941363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner