Individual provider · Type 1 NPI

Keaton Andrew Sorenson, DO

Student in an Organized Health Care Education/Training Program · Glendale, AZ

NPI number 1649164740 Active

Practice location

19555 N 59th Ave
Glendale, AZ 85308-6813

Call (623) 572-3200 Map

Mailing address

5518 W Andrea Dr
Phoenix, AZ 85083-6311

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649164740

Keaton Andrew Sorenson, DO's National Provider Identifier is 1649164740, issued on Jun 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Jun 4, 2025.