Individual
KENNETH A BABBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3770 S 16TH AVE, TUCSON, AZ 85713-6081
(520) 620-1200
(520) 620-1400
Mailing address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(951) 354-3216
(951) 848-9968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
734336
ACCESS
AZ
05
—
734336
—
AZ
01
—
RN117087
MEDICAL
CA
Enumeration date
06/05/2006
Last updated
05/24/2016
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