Organization
K E EXPRESS PLLC
Active
Organization
K E EXPRESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAM MD (SOLE MEMBER)
(928) 771-9000
Entity
Organization
Contact information
Practice address
16425 E PALISADES BLVD STE 102, FOUNTAIN HILLS, AZ 85268-3754
(928) 771-9000
Mailing address
2820 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1242
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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