Individual
KENNETH CHARLES PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1607 E HARWELL RD, PHOENIX, AZ 85042-6881
(623) 332-8632
Mailing address
1607 E HARWELL RD, PHOENIX, AZ 85042-6881
(623) 332-8632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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