Individual
MEGHAN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0001
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
TRN194498
AZ
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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