Individual
DR. KATHLEEN ANN AUDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
10392 E GOLD NUGGET CT, GOLD CANYON, AZ 85118-4914
(480) 399-4433
Mailing address
10392 E GOLD NUGGET CT, GOLD CANYON, AZ 85118-4914
(480) 399-4433
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099-0000024
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-1248
NATUROPATHIC MEDICAL LICENSE
AZ
Enumeration date
12/04/2008
Last updated
04/29/2013
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