Miss Kathleen May Peregoy
Dental Assistant
1425 Montgomery Rd
Red Bluff
, California 96080-4605
Miss Kathleen May Peregoy
Dental Assistant
1425 Montgomery Rd
Red Bluff
, California 96080-4605
(530) 385-1190
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Miss Kathleen May Peregoy
- 9330 San Benito Ave
- Gerber, CA
- Zip : 96035-9701
- Phone : (530) 385-1190
Second Address
- Miss Kathleen May Peregoy
- 1425 Montgomery Rd
- Red Bluff, CA
- Zip : 96080-4605
- Phone : (530) 528-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 39486 | CA |
National Provider Identifier
| NPI | 1194944090 |
|---|---|
| Provider Name | Miss Kathleen May Peregoy |
| First Address | Gerber, CA 96035-9701 |
| Second Address | Red Bluff, CA 96080-4605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2007 |
| Last Update Date | 08/07/2007 |
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.