Organization
KENNETH O ANAEME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH O ANAEME MD (OWNER)
(602) 689-5820
Entity
Organization
Contact information
Practice address
2600 E SOUTHERN AVE STE F2, TEMPE, AZ 85282-7626
(480) 625-4704
Mailing address
PO BOX 11773, CHANDLER, AZ 85248-0013
(480) 907-7707
(480) 907-7097
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
30256
AZ
207R00000X
Internal Medicine Physician
Primary
30256
AZ
208000000X
Pediatrics Physician
30256
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324464
—
AZ
Enumeration date
12/13/2006
Last updated
03/14/2023
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