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Individual

KIMBERLEY A DODENHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
13400 E SHEA BLVD, MAYO CLINIC ARIZONA, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209001395
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0793
AZ

Other

Enumeration date
10/05/2006
Last updated
10/01/2020
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