Provider Demographics
NPI:1730164856
Name:INGWERSEN, KATHLEEN M (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:M
Last Name:INGWERSEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Mailing Address - Street 2:CMR 402; BOX 2059
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180
Mailing Address - Country:DE
Mailing Address - Phone:01149637-186-6781
Mailing Address - Fax:01149637-186-7071
Practice Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:CMR 402
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:DE
Practice Address - Phone:01149162-270-0861
Practice Address - Fax:01149637-186-7071
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
HIMD 6710207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology