Individual provider · Type 1 NPI

Kevin Kon, PAC

Nurse Practitioner · Mesa, AZ

NPI number 1124056502 Active

Practice location

1066 N Power Rd, Ste 101
Mesa, AZ 85205

Mailing address

27208 N 65th Dr
Phoenix, AZ 85085

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3082 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124056502

Kevin Kon, PAC's National Provider Identifier is 1124056502, issued on Jun 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.