Individual provider · Type 1 NPI

Kevin Lamar Redus, PA-C

Surgical Physician Assistant · Wickenburg, AZ

NPI number 1164425633 Active

Practice location

520 Rose Ln
Wickenburg, AZ 85390-1447

Call (928) 684-5421 Map

Fax (289) 684-7457

Mailing address

3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160

Other practice locations

  • 523 Rose Ln, Wickenburg, AZ 85390-1448 · (928) 668-1803

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2477 (AZ)
Surgical Physician Assistant Primary 363AS0400X2477 (AZ)

Surgical Physician Assistant: Definition to come...

46 other providers at this address

About NPI 1164425633

Kevin Lamar Redus, PA-C's National Provider Identifier is 1164425633, issued on May 27, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wickenburg, AZ. The record was last updated on Apr 26, 2024.