| Kevin J Obrien Dpm Inc | |
|
1731 Mesquite Ave Ste 4, Lake Havasu City, AZ 86403-5653 | |
| (928) 854-4307 | |
| (928) 854-4339 |
| Full Name | Kevin J Obrien Dpm Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1731 Mesquite Ave Ste 4, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558550533 | NPI | - | NPPES |
| DC2459 | Other | AZ | RAILROAD MEDICARE |
| 572124 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0541 (Arizona) | Primary |
| Provider Name | Kevin J Obrien |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568545481 PECOS PAC ID: 6800788274 Enrollment ID: I20040329001360 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Obrien Dpm Inc Po Box 3028, Lake Havasu City, AZ 86405 Ph: (928) 854-4307 | Kevin J Obrien Dpm Inc 1731 Mesquite Ave Ste 4, Lake Havasu City, AZ 86403-5653 Ph: (928) 854-4307 |
Ronald Bernard Killian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 25 Riviera Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-5555 Fax: 928-505-2877 | |
Ms. Karen Ann Powell, P T Podiatrist Medicare: Not Enrolled in Medicare Practice Location: Oro Grande Elementary 1250 Pawnee Drive, Lake Havasu City, AZ 86406 Phone: 928-505-6900 | |
Western Arizona Foot & Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1980 Mesquite Ave, Suite 103, Lake Havasu City, AZ 86403 Phone: 928-680-4934 Fax: 928-505-4416 | |
Robert H Novack, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 90 Riviera Dr, Lake Havasu City, AZ 86403 Phone: 928-855-7800 Fax: 928-855-5392 | |
Ronald B Killian Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1731 Mesquite Ave, Suite 4, Lake Havasu City, AZ 86403 Phone: 928-854-4307 Fax: 928-854-4339 |