KATHERINE IDA CLAYTON

VERO BEACH, FL
NPI1780959932
Former NameKATHERINE IDA GUTHRIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  OS13192)
Additional Taxonomies208M00000X Hospitalist
(Licence: FL  OS13192)
Enumeration Date2012-03-20
Last Update Date2020-03-01
Business Address
KATHERINE IDA CLAYTON D.O.
1000 36TH ST
VERO BEACH, FL 32960-4862
Phone number: 772-567-4311
Mailing Address
KATHERINE IDA CLAYTON D.O.
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212