# NAEGELE MEDICAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Naegele Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710382767
- **Authorized official:** DR. KATHLEEN NAEGELE D.O. (PRESIDENT AND CEO)
- **Authorized official phone:** (708) 250-3410

## Contact information

- **Practice address:** 3178 WESTERN AVE, KINGMAN, AZ 86409-0950
- **Practice address phone:** (928) 757-7011
- **Mailing address:** 1308 N STOCKTON HILL RD, SUITE A386, KINGMAN, AZ 86401-5139
- **Mailing address phone:** (708) 250-3410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 005573 | AZ | — |
| 207RH0003X | Hematology & Oncology Physician | 005573 | AZ | Yes |

## Other

- **Enumeration date:** 11/01/2014
- **Last updated:** 11/01/2014