Individual
KENNETH A EPSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1338 W FOREST MEADOWS ST, SUITE 140, FLAGSTAFF, AZ 86001-7218
(928) 213-8631
(928) 213-8632
Mailing address
1338 W FOREST MEADOWS ST, SUITE 140, FLAGSTAFF, AZ 86001-7218
(928) 213-8631
(928) 213-8632
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
19589
AZ
207RR0500X
Rheumatology Physician
Primary
19589
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296964
—
AZ
Enumeration date
02/10/2006
Last updated
02/25/2013
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