Provider Demographics
NPI:1538626726
Name:WANS, KATHLEEN COLIN (MS,GENETIC COUNSELOR)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:COLIN
Last Name:WANS
Suffix:
Gender:F
Credentials:MS,GENETIC COUNSELOR
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:MARY
Other - Last Name:COLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:185 HARRY S TRUMAN PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7580
Mailing Address - Country:US
Mailing Address - Phone:410-703-7052
Mailing Address - Fax:
Practice Address - Street 1:185 HARRY S TRUMAN PKWY STE 120
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7580
Practice Address - Country:US
Practice Address - Phone:410-703-7052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS