Individual
KATHRYN RENEE RULIFFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2488 E GLENHAVEN DR, PHOENIX, AZ 85048-8204
(540) 421-9822
Mailing address
2488 E GLENHAVEN DR, PHOENIX, AZ 85048-8204
(540) 421-9822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
53818
CA
363A00000X
Physician Assistant
Primary
7447
AZ
Other
Enumeration date
03/09/2008
Last updated
07/28/2021
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