Individual
MS. KATHY LYNN PREGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 LIGHTERWOOD WAY, VALRICO, FL 33596-8124
(813) 504-1565
(813) 643-6630
Mailing address
4710 LIGHTERWOOD WAY, VALRICO, FL 33596-8124
(813) 504-1565
(813) 643-6630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688427096
—
FL
05
—
688427098
—
FL
Enumeration date
12/26/2010
Last updated
12/26/2010
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