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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN E MOORE BISHOP, MD

Active Sole Proprietor

KATHLEEN E MOORE BISHOP, MD is a 2083P0011X healthcare provider located in CASA GRANDE, Arizona. NPI 1871701300 is currently active in the NPPES registry. Verify at CMS.

2083P0011X · CASA GRANDE, AZ

Registration Details

NPI Number
1871701300
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2007 (19.233463651686 yrs)
Last Updated
May 1, 2017
Licenses
25817 (AZ)
25817 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1800 E FLORENCE BLVD
CASA GRANDE, AZ, 851225303
Browse AZ providers · Browse ZIP 85122
Phone
5203816105
Fax
5203816060
Primary Specialty
2083P0011X
2083P0011X
Additional Specialty
2083P0011X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.