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Individual
KIM ANDERSON GREENWOOD
Active
Individual
KIM ANDERSON GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP, MS
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PNPAP0073
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
488462
AHCCCS #
AZ
Enumeration date
09/27/2006
Last updated
07/09/2007
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