| Doctor Name: | KATHLEEN GONZALES |
| NPI Number: | 1487640736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | RN083567 |
| Business Practice Address: | 613 Bisbee Rd Bisbee, AZ - 856031305 |
| Business Phone Number: | 5204327287 |
| Business Fax Number: | |
| Mailing Address: | 613 Bisbee Rd, BISBEE |
| State: | AZ |
| Postal Code: | 856031305 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2005 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN083567 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |