Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 275618 | NY |
NPI | 1003112830 |
---|---|
Provider Name | Dr. Kathryn Keaty |
First Address | New York, NY 10012-3858 |
Second Address | New York, NY 10012-3858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2011 |
Last Update Date | 17/12/2021 |