Organization
KAG BILLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIDIST WORKU GONDEL (CEO)
(602) 831-5500
Entity
Organization
Contact information
Practice address
2100 N SCOTTSDALE RD, TEMPE, AZ 85288-1365
(602) 831-5500
Mailing address
2100 N SCOTTSDALE RD, TEMPE, AZ 85288-1365
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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