Ganley, Kathleen Jodell

Ganley, Kathleen Jodell is an sole proprietor health care provider with primary practice located at 208 Pine Knoll Dr Bldg 66 Rm 103 , Flagstaff AZ 86011-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ganley, Kathleen Jodell can be contacted via phone (928) 523-4092.

Contact Information

Primary practice address
208 Pine Knoll Dr Bldg 66 Rm 103 Flagstaff AZ 86011-0001
Phone: (928) 523-4092
Fax: (928) 523-9289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1715 Arizona

Profile Details

NPI number 1659519270
LBN Legal business name Ganley, Kathleen Jodell
Credentials P.T., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2009
Last updated Feb 4th, 2009 - about 16 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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