Kmthree Llc | |
12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 | |
(602) 677-0187 | |
Not Available |
Full Name | Kmthree Llc |
---|---|
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 12409 W Indian School Rd Ste B210, Avondale, Arizona |
Authorized Official Name and Position | Kristy Morgan (OWNER) |
Authorized Official Contact | 6026770187 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kmthree Llc Po Box 11180 Tempe AZ 85284-0020 Ph: (602) 677-0187 | Kmthree Llc 12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 Ph: (602) 677-0187 |
NPI Number | 1871128231 |
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Provider Enumeration Date | 03/05/2020 |
Last Update Date | 03/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871128231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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