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Individual

KATE PETTY

Active
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Individual

KATE PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
65254
AZ
207L00000X
Anesthesiology Physician
65254
AZ
207L00000X
Anesthesiology Physician
Primary
A185984
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
65254
AZ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD472549
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P300461549404
DRIVER LICENSE
MI
Enumeration date
03/23/2016
Last updated
09/29/2023
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