Organization · Type 2 NPI

Vip IV & Medical Spa, LLC

Family Medicine Physician · Lake Havasu City, AZ

NPI number 1447932280 Active

Practice location

1690 Mcculloch Blvd N Ste 102
Lake Havasu City, AZ 86403-6560

Call (480) 404-4896 Map

Fax (480) 400-1063

Mailing address

1747 Los Lagos Dr
Lake Havasu City, AZ 86403-6625

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Kelley Robin Farley, NPFamily Nurse Practitioner Lake Havasu City, AZ NPI 1861963845

Other family medicine physician providers in Lake Havasu City

See all in Lake Havasu City →

NPI record

NPI: 1447932280
Entity type: Organization (Type 2)
Issued: Aug 2, 2023
Last updated: Jan 11, 2024
Status: Active

Other names

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Vip IV & Medical Spa, LLC · doing business as
Vip IV & Medical Spa, LLC · doing business as

Authorized official

Ms. Kelley Robin Farley, FNP-C
Owner, Family Nurse Practitioner
(480) 404-4896

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447932280

Vip IV & Medical Spa, LLC's National Provider Identifier is 1447932280, issued on Aug 2, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Jan 11, 2024.