Individual
KIMBERLY ANN KUOPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2550 W UNION HILLS DR, PHOENIX, AZ 85027-5163
(623) 866-7003
Mailing address
2550 W UNION HILLS DR, PHOENIX, AZ 85027-5163
(623) 866-7003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
226471
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
226471
AZ
Other
Enumeration date
07/05/2017
Last updated
12/05/2025
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