Organization
KAYENTA ALTERNATIVE RURAL HOSPITAL
Active
Other names
KAYENTA PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI MAE KELEWOOD (BUSINESS OFFICE MANAGER)
(928) 697-5059
Entity
Organization
Contact information
Practice address
US HIGHWAY 160, S MP 364.3, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4030
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4030
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317191
—
AZ
Enumeration date
05/05/2008
Last updated
02/10/2023
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