| NPI | 1922489343 |
|---|---|
| Former Name | KATHLEEN KELLY HAIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY TP791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61045410) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-09-13 |