Individual
KATHLEEN L MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 98 AND NAVAJO ROUTE 16, TONALEA, AZ 86044
(928) 672-2983
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 672-3000
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
RN274405L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860719854
—
AZ
Enumeration date
02/27/2009
Last updated
04/30/2009
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