Individual
KATHY M SURBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 WESTERN CIRCLE DR, BROOKSVILLE, FL 34613-7308
(304) 573-5354
Mailing address
8060 WESTERN CIRCLE DR, BROOKSVILLE, FL 34613-7308
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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