| Doctor Name: | KATHLEEN D ETZEL |
| NPI Number: | 1770531295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD049657L |
| Business Practice Address: | 406 W Oak Street Titusville, PA - 16354 |
| Business Phone Number: | 8148271851 |
| Business Fax Number: | 7242264575 |
| Mailing Address: | 7 Acee Drive, NATRONA HEIGHTS |
| State: | PA |
| Postal Code: | 15065 |
| Phone Number: | 8002235544 |
| Fax Number: | 7242943206 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD049657L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |