Provider Demographics
NPI:1649303199
Name:HARPER, KATHERINE MEADOWS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MEADOWS
Last Name:HARPER
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-718-3960
Mailing Address - Fax:336-718-3998
Practice Address - Street 1:2821 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4137
Practice Address - Country:US
Practice Address - Phone:336-718-3960
Practice Address - Fax:336-718-3998
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC97-01389208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG61827Medicare UPIN