Individual
DR. KEVIN P ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-2311
(602) 933-2697
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R72275
AZ
2080P0202X
Pediatric Cardiology Physician
56039
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
56039
AZ
Other
Enumeration date
07/26/2010
Last updated
08/29/2018
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