Individual
MR. KEDUSE W FELEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5716 N BLACK CANYON HWY APT 48, PHOENIX, AZ 85017-2110
(623) 299-5688
Mailing address
5716 N BLACK CANYON HWY APT 48, PHOENIX, AZ 85017-2110
(623) 299-5688
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
AZ
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
05/02/2023
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