Individual
KIMBERLY K DEMCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0940
(602) 933-0373
Mailing address
1919 E THOMAS RD, BLDG 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8029
(602) 512-8161
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AZ0230
AZ
363LP0200X
Pediatric Nurse Practitioner
RN106821
AZ
Other
Enumeration date
04/05/2006
Last updated
01/16/2013
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