Individual
MARTTI ELLIS KAHKONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 GAIL GARDNER WAY STE 100, PRESCOTT, AZ 86305-1631
(928) 777-0700
(928) 445-4464
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
35051440
OH
2083X0100X
Occupational Medicine Physician
Primary
56015
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56015
ARIZONA MEDICAL LICENSE
AZ
Enumeration date
11/15/2006
Last updated
03/10/2025
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