Individual
MR. KEVIN P MANCHENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1601 W SAINT MARYS RD, TUCSON, AZ 85745-2623
(520) 872-4901
(520) 901-3642
Mailing address
PO BOX 12730, TUCSON, AZ 85732-2730
(520) 647-8850
(520) 647-8851
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2349
AZ
Other
Enumeration date
07/03/2006
Last updated
03/26/2013
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