Kathleen E Willard
Obstetrician & Gynecologist
1150 N San Francisco St
Flagstaff
, Arizona 86001
Kathleen E Willard
Obstetrician & Gynecologist
1150 N San Francisco St
Flagstaff
, Arizona 86001
(928) 779-7895
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Kathleen E Willard
- 1150 N San Francisco St
- Flagstaff, AZ
- Zip : 86001
- Fax : (928) 779-7895
- Phone : (928) 779-7840
Second Address
- Kathleen E Willard
- 1150 N San Francisco St
- Flagstaff, AZ
- Zip : 86001
- Fax : (928) 779-7895
- Phone : (928) 779-7840
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 16295 | AZ |
National Provider Identifier
| NPI | 1013010404 |
|---|---|
| Provider Name | Kathleen E Willard |
| First Address | Flagstaff, AZ 86001 |
| Second Address | Flagstaff, AZ 86001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2006 |
| Last Update Date | 17/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S37842 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.