Mrs. Kathleen Ann Segall
Sports Medicine Doctor
5025 9th Ave N
St Petersburg
, Florida 33710-6606
Mrs. Kathleen Ann Segall
Sports Medicine Doctor
5025 9th Ave N
St Petersburg
, Florida 33710-6606
(727) 865-6540
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Mrs. Kathleen Ann Segall
- 521 Pinellas Bayway S Apt 404
- St Petersburg, FL
- Zip : 33715-1999
- Fax : (727) 865-6540
- Phone : (727) 515-5358
Second Address
- Mrs. Kathleen Ann Segall
- 5025 9th Ave N
- St Petersburg, FL
- Zip : 33710-6606
- Fax : (727) 865-6540
- Phone : (727) 515-5358
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MA0028278 | FL |
National Provider Identifier
| NPI | 1033363817 |
|---|---|
| Provider Name | Mrs. Kathleen Ann Segall |
| First Address | St Petersburg, FL 33715-1999 |
| Second Address | St Petersburg, FL 33710-6606 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C8824 | BLUE CROSS BLUE SHIELD (01) | FL |
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.