Individual
KATHLEEN M KOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP3100
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354297
—
AZ
01
—
P00624123
RAILROAD MEDICARE
AZ
Enumeration date
08/06/2008
Last updated
11/19/2008
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