Provider Demographics
NPI:1447507587
Name:HUME, KATLIN
Entity type:Individual
Prefix:MISS
First Name:KATLIN
Middle Name:
Last Name:HUME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 GOLF AIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-6902
Mailing Address - Country:US
Mailing Address - Phone:863-353-8432
Mailing Address - Fax:
Practice Address - Street 1:153 GOLF AIRE BLVD
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-6902
Practice Address - Country:US
Practice Address - Phone:863-353-8432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)