Healthcare Provider Details

I. General information

NPI: 1881841963
Provider Name (Legal Business Name): CATHERINE KIN HO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 E SOUTHERN AVE
TEMPE AZ
85282-5894
US

IV. Provider business mailing address

1855 E SOUTHERN AVE STE 215
TEMPE AZ
85282-5894
US

V. Phone/Fax

Practice location:
  • Phone: 480-829-6100
  • Fax: 480-446-7602
Mailing address:
  • Phone: 480-712-6000
  • Fax: 480-245-6337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number006189
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: