Organization
KAHLO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFFER RAMIREZ (NURSE PRACTITIONER)
(623) 628-0220
Entity
Organization
Contact information
Practice address
12725 W INDIAN SCHOOL RD # E114, AVONDALE, AZ 85392-9520
(623) 745-9865
Mailing address
12725 W INDIAN SCHOOL RD # 114, AVONDALE, AZ 85392-9520
(623) 628-0220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982120457
—
AZ
Enumeration date
06/01/2019
Last updated
03/18/2020
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