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Individual

MR. JOHN ROBERT KECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
11047 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 589-0500
(602) 314-4552
Mailing address
11047 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 589-0500
(602) 314-4552

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP2289
AZ

Other

Enumeration date
08/30/2006
Last updated
12/04/2025
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