Individual
DR. KATHLEEN MARIE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 W AIRPORT FWY, SUITE 143, IRVING, TX 75062-6203
(469) 488-4500
Mailing address
1111 W AIRPORT FWY, SUITE 143, IRVING, TX 75062-6203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q9000
TX
Other
Enumeration date
05/01/2013
Last updated
07/09/2016
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