Wasylik, Kathleen M

Wasylik, Kathleen M is an individual health care provider with primary practice located at 601 5Th St. South #701, St Petersburg FL 33701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Wasylik, Kathleen M can be contacted via phone (727) 329-5400.

Contact Information

Primary practice address
601 5Th St. South #701 St Petersburg FL 33701
Fax: (727) 329-5402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 48414 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME98034 Florida

Profile Details

NPI number 1669573028
LBN Legal business name Wasylik, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669573028 NPPES
Minnesota MEDICAID 787267400

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