Individual
MS. KATHLEEN DOLORES VAN LEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-3229
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
34139
AZ
2086S0120X
Pediatric Surgery Physician
Primary
C56170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940610
—
AZ
Enumeration date
08/12/2005
Last updated
03/05/2026
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