Provider Demographics
NPI:1356306856
Name:KINGETT, KATHIE LEE (ATC)
Entity Type:Individual
Prefix:DR
First Name:KATHIE
Middle Name:LEE
Last Name:KINGETT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:807 WEST RD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-8057
Mailing Address - Country:US
Mailing Address - Phone:562-691-8927
Mailing Address - Fax:562-691-8927
Practice Address - Street 1:1301 AVENIDA CESAR CHAVEZ
Practice Address - Street 2:WOMEN'S PE DEPARTMENT - ELAC
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-6001
Practice Address - Country:US
Practice Address - Phone:323-265-8917
Practice Address - Fax:323-260-8948
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist