Individual
DR. KATHLEEN CAREY CLARKIN-DEDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3733 KARICIO LN, PRESCOTT, AZ 86303-6829
(928) 442-0202
(928) 446-8858
Mailing address
3733 KARICIO LN, PRESCOTT, AZ 86303-6829
(928) 442-0202
(928) 446-8858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8516
AZ
111N00000X
Chiropractor
DC004989L
PA
111N00000X
Chiropractor
XO11437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001350853
KEYSTONE HEALTH PLAN WEST
PA
05
—
01870522
—
PA
01
—
201967
UPMC
PA
01
—
U48594
UPMC
PA
Enumeration date
08/30/2005
Last updated
06/29/2022
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