Individual
KENNETH SCOTT GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFRN
Contact information
Practice address
3395 N CAMPBELL AVE, TUCSON, AZ 85719-2306
(520) 307-4790
Mailing address
3395 N CAMPBELL AVE, TUCSON, AZ 85719-2306
(520) 771-6782
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
295155
AZ
Other
Enumeration date
02/06/2023
Last updated
11/08/2023
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