Vedock, Kathleen Jane

Vedock, Kathleen Jane is an individual health care provider with primary practice located at 155 Calle Portal Suite 700, Sierra Vista AZ 85635-2900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vedock, Kathleen Jane can be contacted via phone (520) 459-0203.

Contact Information

Primary practice address
155 Calle Portal Suite 700 Sierra Vista AZ 85635-2900
Phone: (520) 459-0203
Fax: (520) 364-4261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3952 Arizona

Profile Details

NPI number 1235103508
LBN Legal business name Vedock, Kathleen Jane
Credentials DO, FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 26th, 2017 - about 7 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 1235103508 NPPES
Arizona MEDICAID 807125

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