Individual
DR. KATHLEEN MARIE BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
3410
AZ
174M00000X
Veterinarian
Primary
369497
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369497
LIC
UT
Enumeration date
07/16/2013
Last updated
03/07/2023
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