Individual
DR. KATHLEEN JANE VEDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, FAAP
Contact information
Practice address
155 CALLE PORTAL, SUITE 700, SIERRA VISTA, AZ 85635-2900
(520) 459-0203
(520) 364-4261
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3952
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807125
—
AZ
Enumeration date
02/14/2006
Last updated
04/26/2017
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