Provider Demographics
NPI:1760450746
Name:DOBBS, KATHLEEN KING (PH D, RNC)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:KING
Last Name:DOBBS
Suffix:
Gender:F
Credentials:PH D, RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PSSC 41 BOX 991
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09464
Mailing Address - Country:GB
Mailing Address - Phone:01144163-852-8002
Mailing Address - Fax:01144163-852-8528
Practice Address - Street 1:48 MDG UNIT 5210
Practice Address - Street 2:BOX 230
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09461
Practice Address - Country:GB
Practice Address - Phone:01144163-852-8002
Practice Address - Fax:01144163-852-8528
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1589032363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics