Individual
HAL L KIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26434 S HOGAN DR, SUN LAKES, AZ 85248-6913
(480) 883-0699
Mailing address
26434 S HOGAN DR, SUN LAKES, AZ 85248-6913
(480) 883-0699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1603
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603
STATE LICENSE
AZ
Enumeration date
01/23/2010
Last updated
01/23/2010
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