| NPI | 1588746366 |
|---|---|
| Former Name | KATHRYN MICHELLE PUTNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MO 2005001379) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 1500996) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-06-29 |