Individual
JOHN A KEARNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10494 W THUNDERBIRD BLVD, STE 102, SUN CITY, AZ 85351-3058
(623) 537-5600
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(623) 537-5600
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35801
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35801
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124466
—
AZ
01
—
5550830001
MEDICARE NSC SCW
AZ
01
—
5550830003
MEDICARE NSC PEORIA
AZ
01
—
5550830004
MEDICARE NSC PV
AZ
01
—
5550830006
MEDICARE NSC ANTHEM
AZ
01
—
5550830007
MEDICARE NSC DV
AZ
01
—
5550830008
MEDICARE NSC SWV
AZ
01
—
5550830009
MEDICARE NSC AZ NORTH
AZ
01
—
5550830010
MEDICARE NSC GILBERT
AZ
Enumeration date
07/20/2006
Last updated
03/26/2025
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