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Individual
KATHY LIVESAY
Active
Individual
KATHY LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
R35103
NM
163WP2201X
Ambulatory Care Registered Nurse
Primary
R35103
NY
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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