# KENT W. MYERS, MD, PLC

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

## Provider details

- **NPI number:** 1598044984
- **Authorized official:** MR. PAUL M SHANAHAN (BILLING MANAGER)
- **Authorized official phone:** (623) 974-6611

## Contact information

- **Practice address:** 9965 W ROYAL OAK RD, SUITE \# 2236, SUN CITY, AZ 85351-6109
- **Practice address phone:** (623) 815-0210
- **Practice address fax:** (623) 815-0212
- **Mailing address:** 9965 W ROYAL OAK RD, SUITE \# 2236, SUN CITY, AZ 85351-6109
- **Mailing address phone:** (623) 815-0210
- **Mailing address fax:** (623) 815-0212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19579 | AZ | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1508813965 | INDIVIDUAL NPI | AZ |