Individual
KAREN O KEKKONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4233 W CAMINO VIVAZ, GLENDALE, AZ 85310-5576
(602) 826-0900
(602) 936-0344
Mailing address
4233 W CAMINO VIVAZ, GLENDALE, AZ 85310-5576
(602) 826-0900
(602) 936-0344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN1201
AZ
363LP2300X
Primary Care Nurse Practitioner
102304
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP1201
AZ
Other
Enumeration date
08/31/2006
Last updated
08/14/2019
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