Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 04-35575 | KS |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 04-35575 | KS |
NPI | 1306160064 |
---|---|
Provider Name | Dr. Katherine Marie Bedigrew |
First Address | Fort Campbell, KY 42223-5318 |
Second Address | Fort Campbell, KY 42223-5318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2010 |
Last Update Date | 07/11/2018 |