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Individual

MS. KATHRYN PAIGE BRINEGAR

Active
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Individual

MS. KATHRYN PAIGE BRINEGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28129606A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000260496
BLUE CROSS BLUE SHIELD #
IN
01
28129606A
IN LICENSE NUMBER
IN
Enumeration date
07/17/2006
Last updated
07/09/2007
Update your record

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