Organization
JOHN KINGSLEY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KINGSLEY MD (OWNER/PROVIDER)
(602) 374-5610
Entity
Organization
Contact information
Practice address
3555 S VAL VISTA DR, GILBERT, AZ 85297-7323
(602) 374-5610
Mailing address
PO BOX 11706, GLENDALE, AZ 85318-1706
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35465
AZ
Other
Enumeration date
10/16/2013
Last updated
03/10/2014
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