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Individual

KATHERINE LEIGH RAGLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23147
MS
2085R0202X
Diagnostic Radiology Physician
T-2476
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03152342
MS
01
P01702545
RR MEDICARE PTAN
MS
Enumeration date
07/06/2011
Last updated
10/04/2016
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