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Individual

KATHRYN HAMILTON DEAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1-078939
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051519296
BCBS OF AL
AL
05
051554345
AL
01
P00180318
RAILROAD MEDICARE
AL
Enumeration date
03/25/2006
Last updated
01/28/2015
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