Individual
PERNELL KEVIN BEGAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1822B SOUTH OF ROUTE 12, ST MICHAELS, AZ 86511
(928) 797-4552
Mailing address
PO BOX 998, ST MICHAELS, AZ 86511-0998
(928) 797-4552
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D04660165
AZ
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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