Provider Demographics
NPI:1871914523
Name:PHOTIJAK, KATHERYNE
Entity type:Individual
Prefix:
First Name:KATHERYNE
Middle Name:
Last Name:PHOTIJAK
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 1:1660 W LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52804-3636
Mailing Address - Country:US
Mailing Address - Phone:563-324-3508
Mailing Address - Fax:
Practice Address - Street 1:1660 W LOCUST ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52804-3636
Practice Address - Country:US
Practice Address - Phone:563-324-3508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-25
Last Update Date:2013-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22059183500000X
IL051.297168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist