| NPI | 1184662272 |
|---|---|
| Professional Name | KATHRYN A VIDLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CO 52345) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 52345) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-08-12 |