Individual
KATHERINE IDA CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 563-4641
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS13192
FL
208M00000X
Hospitalist Physician
OS13192
FL
Other
Enumeration date
03/20/2012
Last updated
03/01/2020
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