Individual
KEVIN B MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3303 E BASELINE RD., STE #208, DESERT PULMONARY & SLEEP CONSULTANTS, PLC, GILBERT, AZ 85234-2738
(480) 962-1650
(480) 962-1883
Mailing address
3303 E BASELINE RD., STE #208, DESERT PULMONARY & SLEEP CONSULTANTS, PLC, GILBERT, AZ 85234-2738
(480) 962-1650
(480) 962-1883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5638
AZ
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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