Individual
KATHY LOUISE GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-8400
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN076458
AZ
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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