Organization
KICK START INTEGRATIVE HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW B ANTHONY D.C., FNP-C (OWNER/PRESIDENT)
(623) 776-6633
Entity
Organization
Contact information
Practice address
6320 W UNION HILLS DR STE B1500, GLENDALE, AZ 85308-1062
(623) 776-6633
(602) 428-6860
Mailing address
6320 W UNION HILLS DR STE B1500, GLENDALE, AZ 85308-1062
(623) 776-6633
(602) 428-6860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
06/02/2023
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