Individual
DR. KATHLEEN T GAFARIAN
Active
Individual
DR. KATHLEEN T GAFARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
109543
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134037001
—
AR
01
—
173098
MO BLUE SHIELD
MO
05
—
208188219
—
MO
01
—
81766
ARK BLUE SHIELD
AR
Enumeration date
02/05/2007
Last updated
05/10/2013
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