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1255665345 NPI number — KATHLEEN LOUISE AMOS AUD.

NPI Number: 1255665345
Health Care Provider/Practitioner: KATHLEEN LOUISE AMOS AUD.

Information about “1255665345” NPI (KATHLEEN LOUISE AMOS AUD.) exists in 1255665345 in HTML format HTML  |  1255665345 in plain Text format TXT  |  1255665345 in PDF (Portable Document Format) PDF  |  1255665345 in an XML format XML  formats.

NPI Number : 1255665345 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255665345",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMOS",
    "FirstName": "KATHLEEN",
    "MiddleName": "LOUISE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AUD.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMITH-AMOS",
    "OtherFirstName": "KATHLEEN",
    "OtherMiddleName": "LOUISE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "AU.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1399 YGNACIO VALLEY RD STE 36",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WALNUT CREEK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94598-2815",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "925-326-4040",
    "MailingAddressFaxNumber": "925-464-7682",
    "FirstLinePracticeLocationAddress": "1399 YGNACIO VALLEY RD STE 36",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WALNUT CREEK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94598-2815",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "925-326-4040",
    "PracticeLocationAddressFaxNumber": "925-891-9113",
    "EnumerationDate": "09/23/2009",
    "LastUpdateDate": "02/07/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "AU1946",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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