Durham, Kathleen Marie

Durham, Kathleen Marie is an individual health care provider with primary practice located at 1501 E Orange Rd Grundy Hall, Room 152, Waterloo IA 50701-9014. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Durham, Kathleen Marie can be contacted via phone (319) 296-1030.

Contact Information

Primary practice address
1501 E Orange Rd Grundy Hall, Room 152 Waterloo IA 50701-9014
Phone: (319) 296-1030
Fax: (319) 296-4450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 08379 Iowa

Profile Details

NPI number 1679721872
LBN Legal business name Durham, Kathleen Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Sep 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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