Individual
DR. KENNETH O ANAEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 E SOUTHERN AVE STE F2, TEMPE, AZ 85282-7626
(480) 625-4704
Mailing address
PO BOX 11773, CHANDLER, AZ 85248-0013
(480) 907-7707
(480) 907-7097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30256
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30256
LICENSE
AZ
05
—
699027
—
AZ
Enumeration date
02/14/2006
Last updated
03/14/2023
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