Individual
KATHLEEN M WASYLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 5TH ST. SOUTH, #701, ST PETERSBURG, FL 33701
(727) 329-5400
(727) 329-5402
Mailing address
PO BOX 76479, ST PETERSBURG, FL 33734
(727) 329-5400
(727) 329-5402
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
48414
MN
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME98034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
787267400
—
MN
Enumeration date
09/26/2006
Last updated
10/21/2011
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