Kathy Camellia Lightfoot, PHYSICIANASSISTANTS
Kathy Camellia Lightfoot, PHYSICIANASSISTANTS is a Physician Assistant in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2021
Practice location Address checks out
Brc 251 Bayview BlvdBaltimore, MD 21224-2816
Phone: (443) 889-5989
Fax: (443) 740-2834
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence C02520 (MD) |
|---|
Record details
| NPI number | 1851986244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANTS |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2021 |
| Last updated in NPPES | March 8, 2021 |
| Certification date | February 16, 2021 |
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