Individual
JORGE PHILLIP KINDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
27441 N BLACK CANYON HWY UNIT 117, PHOENIX, AZ 85085-0018
(623) 297-6857
Mailing address
27441 N BLACK CANYON HWY UNIT 117, PHOENIX, AZ 85085-0018
(623) 297-6857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN149517
AZ
363LF0000X
Family Nurse Practitioner
Primary
230322
AZ
Other
Enumeration date
06/07/2019
Last updated
04/23/2024
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