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Individual
KATHLEEN A. CAHOON
Active
Individual
KATHLEEN A. CAHOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2001684
IN
207Q00000X
Family Medicine Physician
Primary
4279
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183520
ANTHEM
—
01
—
10780767
CAQH
—
05
—
200051890A
—
IN
05
—
705608
—
AZ
Enumeration date
11/07/2005
Last updated
10/07/2015
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