Stotts, Kathleen M

Stotts, Kathleen M is an individual health care provider with primary practice located at 2621 Crosby Ave , Klamath Falls OR 97603-5726. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Stotts, Kathleen M can be contacted via phone (541) 883-6406.

Contact Information

Primary practice address
2621 Crosby Ave Klamath Falls OR 97603-5726
Phone: (541) 883-6406
Fax: (541) 883-6247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X AT-AT-365107 Oregon

Profile Details

NPI number 1023169828
LBN Legal business name Stotts, Kathleen M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 19 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 1023169828 NPPES
Oregon Other AT-AT-365107 LICENSE

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