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Organization

VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIM MARIE KABBECH ANP (NURSE PRACTITIONER)
(602) 277-5551
Entity
Organization

Contact information

Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E. INDIAN SCHOOL RD., PHOENIX, AZ 85012
(602) 277-5551

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
RN067021
AZ

Other

Enumeration date
03/02/2007
Last updated
08/22/2020
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