Individual
KATHERINE ELIZABETH BEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803-0400
(863) 644-2408
Mailing address
1211 E KENNEDY BLVD UNIT 125, TAMPA, FL 33602-3543
(770) 238-9471
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN25408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114563400
—
FL
Enumeration date
02/16/2020
Last updated
12/17/2024
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