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Organization

KEVIN S. KLOPFENSTEIN M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN SCOTT KLOPFENSTEIN M.D. (OWNER)
(928) 669-6151
Entity
Organization

Contact information

Practice address
400 S CALIFORNIA AVE, PARKER, AZ 85344-4467
(928) 669-6151
(928) 669-8403
Mailing address
400 S CALIFORNIA AVE, PARKER, AZ 85344-4467
(928) 669-6151
(928) 669-8403

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15403
AZ
363AM0700X
Medical Physician Assistant
1932
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538129358
NPI DR.KLOPFENSTEIN
AZ
05
158539
AZ
01
1770543506
NPI GLORIA J. EAGLE P.A.
AZ
05
250217
AZ
Enumeration date
02/20/2007
Last updated
01/24/2008
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