Individual
KEVIN H CONCANNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2167 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 544-7650
(520) 544-7627
Mailing address
2167 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 544-7650
(520) 544-7627
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13231
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233031
—
AZ
Enumeration date
12/07/2005
Last updated
07/09/2007
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