Individual
KENNETH D PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10450 E RIGGS RD #114, SUN LAKES, AZ 85248-7760
(480) 505-2450
(480) 505-2465
Mailing address
10450 E RIGGS RD #114, SUN LAKES, AZ 85248-7760
(480) 505-2450
(480) 505-2465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3169
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z65318
MEDICARE PROVIDER NUMBER
AZ
Enumeration date
11/04/2005
Last updated
02/10/2022
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