Organization
MKEL LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL H IRVINE JD (GENERAL COUNSEL)
(602) 402-4226
Entity
Organization
Contact information
Practice address
2601 N 3RD ST, PHOENIX, AZ 85004-1104
(602) 402-4226
Mailing address
10214 N CENTRAL AVE, PHOENIX, AZ 85020-1047
(602) 402-4226
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3482
AZ
103TC0700X
Clinical Psychologist
3482
AZ
103TF0000X
Family Psychologist
Primary
3482
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128566
CIGNA ID
AZ
01
—
50583
NATIONAL REGISTER #
AZ
Enumeration date
06/28/2007
Last updated
09/11/2025
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