Individual
MICHAEL KEDANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8616 E BROADWAY BLVD, TUCSON, AZ 85710-4014
(520) 468-4809
Mailing address
8616 E BROADWAY BLVD, TUCSON, AZ 85710-4014
(520) 468-4809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496340
—
AZ
01
—
P00177807
RR MEDICARE
AZ
Enumeration date
02/22/2006
Last updated
04/08/2020
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