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Organization
KATHLEEN ANTONETTI, MD, LLC
Active
Organization
KATHLEEN ANTONETTI, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANTONETTI MD (OWNER)
(337) 991-9276
Entity
Organization
Contact information
Practice address
305 BLUESTEM DR, ELGIN, SC 29045-2103
(337) 991-9276
Mailing address
PO BOX 60394, LAFAYETTE, LA 70596-0394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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