Organization
AHMED KEMMOU, M.D, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED KEMMOU M.D. (PRESIDENT)
(928) 344-5055
Entity
Organization
Contact information
Practice address
1841 W 25TH ST STE C, YUMA, AZ 85364-6920
(928) 344-5055
(928) 344-5655
Mailing address
PO BOX 87, YUMA, AZ 85366-2303
(928) 344-5055
(928) 344-5655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184622342
INDIVIDUAL NPI
AZ
05
—
180902
—
AZ
Enumeration date
05/03/2007
Last updated
02/14/2012
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