Individual
KENARD PRINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 S 3RD ST APT 306, PHOENIX, AZ 85004-7100
(305) 813-9678
Mailing address
411 S 3RD ST APT 306, PHOENIX, AZ 85004-7100
(305) 813-9678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
316124
AZ
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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