Individual
MR. KENNETH KWILOSZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14010 N NORTHSIGHT BLVD, SCOTTSDALE, AZ 85260-3601
(480) 443-0384
Mailing address
14010 NORTH NORTHSIGHT BLVD, SCOTTSDALE, AZ 95260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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