Individual
MRS. KATHLEEN MARIE CAYANUS
Active
Individual
MRS. KATHLEEN MARIE CAYANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA052466
PA
363AM0700X
Medical Physician Assistant
Primary
PA3851
MA
Other
Enumeration date
05/23/2006
Last updated
04/06/2011
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