# KEARNY LIFE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396945531
- **Authorized official:** DR. GLENN KEITH AZZARI D.C. (CHIROPRACTOR/PARTNER OWNER)
- **Authorized official phone:** (520) 363-7734

## Contact information

- **Practice address:** 384 ALDEN RD., KEARNY, AZ 85237
- **Practice address phone:** (520) 363-7734
- **Practice address fax:** (520) 363-7213
- **Mailing address:** PO BOX 1149, KEARNY, AZ 85237-1149
- **Mailing address phone:** (520) 363-7734
- **Mailing address fax:** (520) 363-7213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 5499, 5517 | AZ | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 08/19/2008