Provider Demographics
NPI:1689285934
Name:FROMUTH, KATHLEEN (NATUROPATHIC DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:FROMUTH
Suffix:
Gender:F
Credentials:NATUROPATHIC DOCTOR
Other - Prefix:DR
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:FROMUTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:621 4TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4151
Mailing Address - Country:US
Mailing Address - Phone:530-848-6364
Mailing Address - Fax:
Practice Address - Street 1:621 4TH ST STE 6
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4151
Practice Address - Country:US
Practice Address - Phone:530-848-6364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath