Iveson, Kathleen A

Iveson, Kathleen A is an individual health care provider with primary practice located at 2424 N Wyatt Dr Suite 100, Tucson AZ 85712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Iveson, Kathleen A can be contacted via phone (520) 324-8621.

Contact Information

Primary practice address
2424 N Wyatt Dr Suite 100 Tucson AZ 85712
Phone: (520) 324-8621
Fax: (520) 324-3935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29548 Arizona

Profile Details

NPI number 1720074263
LBN Legal business name Iveson, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 13th, 2021 - about 5 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 1720074263 NPPES
Arizona MEDICAID 585333

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