Individual
DR. KATHRYN AMALIA FIVELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 W GALLERIA DR, HENDERSON, NV 89011-4800
(702) 963-7000
Mailing address
343 BANUELO DR, HENDERSON, NV 89014-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101278010
VA
207P00000X
Emergency Medicine Physician
Primary
25793
NV
Other
Enumeration date
03/27/2020
Last updated
10/08/2025
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