Individual
DR. KEVIN CRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8836 N 23RD AVE, B1, PHOENIX, AZ 85021-4185
(602) 944-9810
(602) 216-7040
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285751
—
AZ
Enumeration date
02/29/2008
Last updated
12/05/2016
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