Individual
KATHERINE ELIZABETH KIVIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN
Contact information
Practice address
10503 E ACACIA DR, SCOTTSDALE, AZ 85255-2467
(602) 321-5495
Mailing address
10503 E ACACIA DR, SCOTTSDALE, AZ 85255-2467
(602) 321-5495
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX5100
MD
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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