Provider Demographics
NPI:1235124264
Name:MURATORE, KATHLENE (NMD)
Entity Type:Individual
Prefix:DR
First Name:KATHLENE
Middle Name:
Last Name:MURATORE
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 W SEQUOIA DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4120
Mailing Address - Country:US
Mailing Address - Phone:602-770-2344
Mailing Address - Fax:623-869-0802
Practice Address - Street 1:4022 E GREENWAY RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4798
Practice Address - Country:US
Practice Address - Phone:602-493-0004
Practice Address - Fax:602-493-0761
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03-767175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath