Organization · Type 2 NPI
KMM Health Center LLC
Family Nurse Practitioner · Phoenix, AZ
NPI number
1356699052
Active
Practice location
10046 N Metro Pkwy W Ste 115
Phoenix, AZ 85051-1411
Mailing address
PO Box 60363
Phoenix, AZ 85082-0363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1356699052
KMM Health Center LLC's National Provider Identifier is 1356699052, issued on Aug 28, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 10, 2012.