| NPI | 1639550684 |
|---|---|
| Other Name | KATELYN KAY DIGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MT 13577) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D13536) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-11-28 |