Provider Demographics
NPI:1265768683
Name:SAGE, KATHRYN MAE (ND)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MAE
Last Name:SAGE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:MAE
Other - Last Name:LOES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5675 N. ORACLE RD.
Mailing Address - Street 2:STE #3101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-333-3320
Mailing Address - Fax:520-491-9433
Practice Address - Street 1:5675 N. ORACLE RD.
Practice Address - Street 2:STE #3101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-333-3320
Practice Address - Fax:520-491-9433
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1147175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath