Basic Information
| Provider Information | |||||||||
| NPI: | 1326305145 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHWEIER | ||||||||
| FirstName: | KATHRYN | ||||||||
| MiddleName: | FONTAINE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PA-C | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FONTAINE | ||||||||
| OtherFirstName: | KATHRYN | ||||||||
| OtherMiddleName: | RENEE | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PA-C | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 7505 OSLER DR. | ||||||||
| Address2: | SUITE #104 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212047737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103378888 | ||||||||
| FaxNumber: | 4108254833 | ||||||||
| Practice Location | |||||||||
| Address1: | 7505 OSLER DR | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212047737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103378888 | ||||||||
| FaxNumber: | 4108254833 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2012 | ||||||||
| LastUpdateDate: | 07/17/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | C0005089 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 363A00000X | C05089 | MD | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.