Most Relevant Information
Provider Data
| NPI Number: | 1003363854 |
| Provider Name: | KATHRYN KLOSS CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R201095 |
Most Important Dates
| Enumeration Date: | 09/08/2016 |
| Last Updated: | 08/25/2023 |
Provider Practice Location
1 E 31ST ST # N200
BALTIMORE
MD
212183902
Practice Location Phone/Fax
| Phone: | 4105168270 |
| Fax: | 4105164784 |
Provider Mailing Location
1 E 31ST ST # N200
BALTIMORE
MD
212183902
Provider Mailing Phone/Fax
| Phone: | 4105168270 |
| Fax: | 4105164784 |