Individual
DR. KATHY KLADAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
601 W RIVERSIDE DR STE 2, PARKER, AZ 85344-5119
(928) 256-4110
(928) 256-4112
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23302
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
291148
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013012247
AMERICAN NURSE CREDENTIALING CENTER FAMILY NURSE PRACTITIONER, BOARD CERTIFIED
—
Enumeration date
07/18/2013
Last updated
10/31/2025
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