Individual
COURTNEY R KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7802
AZ
363AM0700X
Medical Physician Assistant
PA1803
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619412921
—
NV
Enumeration date
12/21/2016
Last updated
11/01/2022
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