Individual
DR. KIEREN MARIE KAVENEY LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Mailing address
2400 S AVENUE A, DEPARTMENT OF EMERGENCY MEDICINE, YUMA, AZ 85364
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
008578
AZ
390200000X
Student in an Organized Health Care Education/Training Program
OT016975
PA
Other
Enumeration date
06/19/2016
Last updated
07/15/2020
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