Individual
KATHLEEN A DEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(727) 215-1925
Mailing address
4559 LAKE VALENCIA BLVD W, PALM HARBOR, FL 34684-3920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1266742
FL
Other
Enumeration date
05/10/2006
Last updated
07/06/2020
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