Individual
KATHLEEN M STOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 CROSBY AVE, KLAMATH FALLS, OR 97603-5726
(541) 883-6406
(541) 883-6247
Mailing address
2621 CROSBY AVE, KLAMATH FALLS, OR 97603-5726
(541) 883-6406
(541) 883-6247
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AT-AT-365107
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-AT-365107
LICENSE
OR
Enumeration date
01/16/2007
Last updated
07/08/2007
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