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Organization

KAI HEALTH & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC POOLE (MEMBER/MANAGER)
(602) 493-0004
Entity
Organization

Contact information

Practice address
16620 N 40TH ST, BUILDING I, SUITE 2, PHOENIX, AZ 85032-3348
(480) 315-8322
Mailing address
36010 N 33RD LN, PHOENIX, AZ 85086-2298

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
07/18/2017
Last updated
07/24/2017
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