Individual
DR. KATHRYN NEILLA FEUQUAY
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) 214-2920
(928) 214-2925
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41640
AZ
208M00000X
Hospitalist Physician
Primary
41640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451424
—
AZ
Enumeration date
06/13/2007
Last updated
09/02/2022
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