Provider Demographics
NPI:1861724536
Name:HARWOOD, KATHRINE (DC)
Entity type:Individual
Prefix:DR
First Name:KATHRINE
Middle Name:
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-1338
Mailing Address - Country:US
Mailing Address - Phone:605-786-5976
Mailing Address - Fax:
Practice Address - Street 1:2202 MAIN ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-1338
Practice Address - Country:US
Practice Address - Phone:605-786-5976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS104302Medicare PIN
SDS104303Medicare PIN