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Individual
KATHRYN HODGE
Active
Individual
KATHRYN HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A43591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A43591
MEDICAL LICENSE
CA
Enumeration date
07/14/2006
Last updated
07/08/2007
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