Organization
AZ INFECTIOUS DISEASE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN KIMES DO (OWNER)
(602) 844-4855
Entity
Organization
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 844-4855
Mailing address
16772 W BELL RD STE 110-619, SURPRISE, AZ 85374-9702
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417335647
NPI
—
Enumeration date
11/04/2022
Last updated
11/04/2022
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