Duerksen, Kathleen Marie

Duerksen, Kathleen Marie is an sole proprietor health care provider with primary practice located at 5979 E Grant Rd Suite 115, Tucson AZ 85712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Duerksen, Kathleen Marie can be contacted via phone (520) 751-8030.

Contact Information

Primary practice address
5979 E Grant Rd Suite 115 Tucson AZ 85712
Phone: (520) 751-8030
Fax: (520) 751-0990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 21767 Arizona

Profile Details

NPI number 1417966607
LBN Legal business name Duerksen, Kathleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Nov 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417966607 NPPES
Arizona MEDICAID 145252

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