Individual
KENDRA GRATHWOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
131988
CA
207Q00000X
Family Medicine Physician
60044
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
60044
AZ
208M00000X
Hospitalist Physician
60044
AZ
Other
Enumeration date
11/12/2013
Last updated
01/29/2024
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