Individual
KENNETH MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5025 N. CENTRAL AVE., SUITE 365, PHOENIX, AZ 85012
(602) 841-4687
Mailing address
4130 W. PALO VERDE DR., PHOENIX, AZ 85019
(602) 841-5406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17823
AZ
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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