Individual
KEVIN MARK HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14044 W CAMELBACK RD STE 204, LITCHFIELD PARK, AZ 85340-9426
(623) 935-9600
(623) 935-9602
Mailing address
14044 W CAMELBACK RD STE 204, LITCHFIELD PARK, AZ 85340-9426
(623) 935-9600
(623) 935-9602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25674
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490706
—
AZ
Enumeration date
09/23/2005
Last updated
03/17/2018
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