Individual
JOHN S KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 N 44TH ST, #400, PHOENIX, AZ 85008-7624
(602) 685-3846
Mailing address
4522 N 11TH AVE, PHOENIX, AZ 85013-2609
(602) 441-4419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35465
AZ
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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