Individual
MRS. KATHLEEN ANN SEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMT
Contact information
Practice address
5025 9TH AVE N, ST PETERSBURG, FL 33710-6606
(727) 515-5358
(727) 865-6540
Mailing address
521 PINELLAS BAYWAY S APT 404, ST PETERSBURG, FL 33715-1999
(727) 515-5358
(727) 865-6540
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MA0028278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8824
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/06/2008
Last updated
11/06/2008
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