Organization
FLAGSTAFF INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMALEE NICOLE KENNEDY MD (OWNER)
(928) 779-2497
Entity
Organization
Contact information
Practice address
710 N BEAVER ST, BUILDING 6, FLAGSTAFF, AZ 86001-3100
(928) 779-2497
(928) 226-1068
Mailing address
710 N BEAVER ST, BUILDING 6, FLAGSTAFF, AZ 86001-3100
(928) 779-2497
(928) 226-1068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33977
AZ
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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