Individual
KELLY KATHERINE MENACHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
US 191, PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
Mailing address
PO BOX 550, CHINLE, AZ 86503-0550
(720) 244-7077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60844926
WA
Other
Enumeration date
03/22/2015
Last updated
09/17/2018
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