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NPI Code Detail

MEDICARE: DR. KATHLEEN ELIZABETH GIBSON KENDLE M.D

MEDICARE:  DR. KATHLEEN ELIZABETH GIBSON KENDLE  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1202D00000XIntegrative Medicine Physician23215AZ

General Provider Information

NPI Number : 1770592040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN ELIZABETH GIBSON KENDLE M.D
Provider Business Mailing Address
First Line : 3601 S 6TH AVE
Second Line : TUCSON
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number :
Provider Business Practice Location Address
First Line : 3601 S 6TH AVE
Second Line : TUCSON
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/11/2026

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Directions to “ DR. KATHLEEN ELIZABETH GIBSON KENDLE M.D” Practice Location

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