Individual
KACEY ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6615 E CHOLLA ST, SCOTTSDALE, AZ 85254-5039
(480) 484-4400
Mailing address
291 W BETSY LN, GILBERT, AZ 85233-8512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN188692
AZ
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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