Individual
KATHRYN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6871 BELFORT OAKS PL, JACKSONVILLE, FL 32216-6242
(904) 553-8806
Mailing address
823 WATERMAN RD N, JACKSONVILLE, FL 32207-5240
(904) 553-8806
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME78129
FL
2085N0700X
Neuroradiology Physician
ME78129
FL
2085N0904X
Nuclear Radiology Physician
ME78129
FL
2085P0229X
Pediatric Radiology Physician
ME78129
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME78129
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME78129
FL
2085U0001X
Diagnostic Ultrasound Physician
ME78129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825239A
—
FL
05
—
256319300
—
FL
01
—
46485
BCBS
FL
Enumeration date
07/21/2006
Last updated
10/07/2023
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