Provider Demographics
NPI:1538146550
Name:CAULFIELD, KATHRYN ANN (MD)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ANN
Last Name:CAULFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2391 COURT DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2196
Mailing Address - Country:US
Mailing Address - Phone:704-866-8976
Mailing Address - Fax:704-866-8680
Practice Address - Street 1:2391 COURT DR
Practice Address - Street 2:SUITE 120
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2196
Practice Address - Country:US
Practice Address - Phone:704-866-8976
Practice Address - Fax:704-866-8680
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2010-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9600398207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890227LMedicaid
F81023Medicare UPIN
NY2344587Medicare ID - Type Unspecified