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Dr. Kathleen Elizabeth Bathon, MD
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1134741457

Kathleen Elizabeth Bathon is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Kathleen Elizabeth Bathon practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Kathleen Elizabeth Bathon is 1134741457 and holds a License No. 0101274115 (Florida).

The current practice location address for Kathleen Elizabeth Bathon is 2080 Child St, Jacksonville, FL and can be reached out via phone at 904-546-7084.

Location: 2080 Child St, Jacksonville, FL, 32214-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134741457
Provider Name
Kathleen Elizabeth Bathon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2080 Child St, Jacksonville, FL, 32214-5005
Phone Number
904-546-7084
Fax Number
Provider Enumeration Date
05/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St
City
Jacksonville
State
Florida
Zip
32214-5600
Phone Number
904-546-7084
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St
City
Jacksonville
State
Florida
Zip
32214-5600
Phone Number
904-546-7084
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101274115 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101274115 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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