Individual
MR. RICHARD EDMOND KATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC/L., CSCS.,
Contact information
Practice address
15410 S MOUNTAIN PKWY, PHOENIX, AZ 85044-6691
(480) 329-8087
Mailing address
1462 E INDIGO ST, GILBERT, AZ 85298-6804
(480) 329-8087
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
57112
AZ
2255A2300X
Athletic Trainer
Primary
0260
AZ
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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