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Individual

KATHLEEN E BETHIN

Active
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Individual

KATHLEEN E BETHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
247225
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028296201
UNIVERA
01
000529418001
BD/BS
01
0194393
GHI
05
02937924
NY
01
080219000084
FIDELIS
01
1214441
IHA
Enumeration date
08/21/2006
Last updated
02/18/2023
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