Individual
KIA LAMBETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10815 W MCDOWELL RD STE 305, AVONDALE, AZ 85392-5016
(623) 936-3312
(623) 936-4248
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP10679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331053
—
AZ
01
—
Z209239
MEDICARE
AZ
Enumeration date
11/09/2017
Last updated
08/05/2024
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