# ARK FAMILY HEALTH NORTH PEORIA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ark Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396484762
- **Authorized official:** KENDRICK O JOHNSON (OWNER)
- **Authorized official phone:** (801) 234-0166

## Contact information

- **Practice address:** 8514 W DEER VALLEY RD STE 100, PEORIA, AZ 85382-5387
- **Practice address phone:** (623) 226-8825
- **Mailing address:** 8514 W DEER VALLEY RD STE 100, PEORIA, AZ 85382-5387
- **Mailing address phone:** (623) 226-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2022
- **Last updated:** 06/02/2022