| Kick Start Integrative Health PLLC | |
|
6320 W Union Hills Dr Ste B1500 Glendale AZ 85308-1062 | |
| (623) 776-6633 | |
| (602) 428-6860 |
| Full Name | Kick Start Integrative Health PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6320 W Union Hills Dr Ste B1500, Glendale, Arizona |
| Authorized Official Name and Position | Andrew B Anthony (OWNER/PRESIDENT) |
| Authorized Official Contact | 6237766633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kick Start Integrative Health PLLC 6320 W Union Hills Dr Ste B1500 Glendale AZ 85308-1062 Ph: (623) 776-6633 | Kick Start Integrative Health PLLC 6320 W Union Hills Dr Ste B1500 Glendale AZ 85308-1062 Ph: (623) 776-6633 |
| NPI Number | 1609576123 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609576123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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