Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 201600638 | NC |
Y | 207V00000X | Obstetrician & Gynecologist | E-12216 | AR |
N | 207VX0000X | Obstetrician | 2015018675 | MO |
NPI | 1174810782 |
---|---|
Provider Name | Dr. Kathryn Christine Stambough |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72202-4627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2011 |
Last Update Date | 31/10/2019 |