Individual
AHMED KEMMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1841 W 25TH ST STE C, YUMA, AZ 85364-6920
(928) 344-5055
(928) 344-5655
Mailing address
PO BOX 87, YUMA, AZ 85366-6932
(928) 344-5055
(928) 344-5655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180902
—
AZ
05
—
2000258000
—
WV
Enumeration date
07/12/2005
Last updated
02/14/2012
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