Kathleen Marie Thaxter, PA-C

NPI #1679633317 in Fort Pierce, Florida

Provider Information

NPI Number: 1679633317
Entity Type: Individual
Name: Kathleen Marie Thaxter, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 727 NORTH US 1
City: Fort Pierce
State: Florida
ZIP Code: 34950
Phone: (772) 595-5150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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