Individual provider · Type 1 NPI

Kevin P. Manchenton, PA-C

Medical Physician Assistant · Tucson, AZ

NPI number 1902835606 Active

Practice location

1601 W Saint Marys Rd
Tucson, AZ 85745-2623

Fax (520) 901-3642

Mailing address

PO Box 12730
Tucson, AZ 85732-2730

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2349 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1902835606

Kevin P. Manchenton, PA-C's National Provider Identifier is 1902835606, issued on Jul 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tucson, AZ. The record was last updated on Mar 26, 2013.