Individual
KATHLEEN SUSAN HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1536
Mailing address
3415 W CALAVAR RD, PHOENIX, AZ 85053-5622
(602) 283-1600
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN115650
AZ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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