Organization
KICKSTART PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIROSLAV ILIEFF PMHNP (OWNER AND NURSE PRACTITIONER)
(480) 979-0827
Entity
Organization
Contact information
Practice address
2325 E CAMELBACK RD STE 400, PHOENIX, AZ 85016-3514
(480) 979-0827
(480) 210-8294
Mailing address
2325 E CAMELBACK RD STE 400, PHOENIX, AZ 85016-3514
(480) 979-0827
(480) 210-8294
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
02/26/2025
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