Kathleen M Wasylik
Pediatric Otolaryngology
601 5th St. South #701
St Petersburg
, Florida 33701
Kathleen M Wasylik
Pediatric Otolaryngology
601 5th St. South #701
St Petersburg
, Florida 33701
(727) 329-5402
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Kathleen M Wasylik
- Po Box 76479
- St Petersburg, FL
- Zip : 33734
- Fax : (727) 329-5402
- Phone : (727) 329-5400
Second Address
- Kathleen M Wasylik
- 601 5th St. South #701
- St Petersburg, FL
- Zip : 33701
- Fax : (727) 329-5402
- Phone : (727) 329-5400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YP0228X | Pediatric Otolaryngology | 48414 | MN |
| Y | 207YP0228X | Pediatric Otolaryngology | ME98034 | FL |
National Provider Identifier
| NPI | 1669573028 |
|---|---|
| Provider Name | Kathleen M Wasylik |
| First Address | St Petersburg, FL 33734 |
| Second Address | St Petersburg, FL 33701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 21/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 787267400 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.