Individual provider · Type 1 NPI

Kenyon Christopher Carlson

School Registered Nurse · Laveen, AZ

NPI number 1629684741 Active

Practice location

3921 W Baseline Rd
Laveen, AZ 85339-1801

Mailing address

14300 W Bell Rd Unit 429
Surprise, AZ 85374-9735

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XRN232862 (AZ)

School Registered Nurse: Definition to come...

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About NPI 1629684741

Kenyon Christopher Carlson's National Provider Identifier is 1629684741, issued on Sep 23, 2020. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Laveen, AZ. The record was last updated on Sep 23, 2020.