Individual
MR. KEVIN S GOETA KREISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6408 E TANQUE VERDE RD, TUCSON, AZ 85715
(520) 885-5558
(520) 885-5559
Mailing address
6408 E TANQUE VERDE RD, TUCSON, AZ 85715
(520) 885-5558
(520) 885-5559
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22102
AZ
2084P0800X
Psychiatry Physician
G169187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16381602
—
AZ
Enumeration date
11/16/2006
Last updated
05/26/2023
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