Organization
SOUTHWEST MULTICARE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CLARKSON KENNEDY DC (PARTNER)
(480) 949-0600
Entity
Organization
Contact information
Practice address
7730 E MCDOWELL RD, SUITE 107, SCOTTSDALE, AZ 85257
(480) 949-0600
Mailing address
7730 E MCDOWELL RD, SUITE 107, SCOTTSDALE, AZ 85257-3772
(480) 949-0600
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC1096
AZ
Other
Enumeration date
06/03/2008
Last updated
07/14/2008
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