Provider Demographics
NPI:1972358455
Name:SYMONDS, KATHERYN R
Entity type:Individual
Prefix:
First Name:KATHERYN
Middle Name:R
Last Name:SYMONDS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:KT
Other - Middle Name:R
Other - Last Name:SYMONDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:39 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:249 OLD WALPOLE RD
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-4919
Practice Address - Country:US
Practice Address - Phone:860-918-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program