Individual
KATHLEEN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
LP03475
RI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD16701
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP03475
RI
Other
Enumeration date
06/23/2015
Last updated
10/17/2019
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