Kathleen Elaine Ethridge M.D.

NPI 1083721930 - Pediatrics - 2080A0000X

NPI Details
NPI 1083721930
Gender Female
Enumeration Date 08/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
515 N KING ST
STE # 101
SEGUIN TX, 78155-4801, US
Phone (830) 372-3135
Fax (830) 372-3716
Business Location
515 N KING ST
STE # 101
SEGUIN TX, 78155-4801, US
Phone (830) 372-3135
Fax (830) 372-3716
Toxanomy
Taxonomy Code 2080A0000X
License State Texas
License Number H4305
Remove 1083721930 NPI Number
 

According to our database, Dr. Kathleen Elaine Ethridge M.D. NPI is 1083721930, taxonomy code is 2080A0000X and license number is H4305, license state is located at Texas. Kathleen Elaine Ethridge M.D. physically located at 515 N King St, Seguin TX, 78155-4801. NPI Number Kathleen Elaine Ethridge M.D. has the Individual type.

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1083721930 NPI number is provided on an as is basis without warranty of any kind. 1083721930 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Elaine Ethridge M.D. are for informational purposes only.