Individual
WILLIAM K KVIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 N WILLIAMSON AVE, EMERGENCY DEPARTMENT, WINSLOW, AZ 86047-2735
(928) 289-4691
Mailing address
2040 EASY ST, WINSLOW, AZ 86047-2117
(928) 289-0157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15772
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18478904
—
AZ
Enumeration date
08/05/2006
Last updated
07/09/2007
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