Individual
KATHLEEN KESTNER HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(202) 364-7632
Mailing address
3487 AUGUSTA DR, IJAMSVILLE, MD 21754-9040
(301) 461-1634
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA30112
DC
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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