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Individual

JIM W KESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
13933 W GRAND AVE, SUITE 301, SURPRISE, AZ 85374-2435
(623) 474-3952
(623) 474-3953
Mailing address
4715 N 32ND ST, SUITE 108, PHOENIX, AZ 85018-3300
(480) 689-5520
(480) 706-7409

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5920
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3Z3987
HEALTHNET
AZ
05
723660
AZ
Enumeration date
03/03/2006
Last updated
10/18/2013
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