Individual
KATHRYN HAUSOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 COVE PKWY, COTTONWOOD, AZ 86326-4644
(928) 649-3003
(928) 649-3030
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
009060
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093416
—
AZ
Enumeration date
04/27/2017
Last updated
04/08/2026
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