Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 036.124328 | IL |
Y | 207PP0204X | Pediatric Emergency Physician | 34328 | SC |
N | 208000000X | Pediatrician | 2005006933 | MO |
NPI | 1417904541 |
---|---|
Provider Name | Kathy L Lehman-Huskamp |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 17/04/2012 |