Provider Demographics
NPI:1679609804
Name:SILVER, KATHERINE A (RN)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:A
Last Name:SILVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 OLD MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-8699
Mailing Address - Country:US
Mailing Address - Phone:775-721-2142
Mailing Address - Fax:775-721-2142
Practice Address - Street 1:2820 OLD MIDLAND RD
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-8699
Practice Address - Country:US
Practice Address - Phone:775-721-2142
Practice Address - Fax:775-721-2142
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200242334RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR098362Medicaid
OR171806Medicaid