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Organization

QKA HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LORRAINE STOCKWELL APRN (OWNER)
(315) 521-2455
Entity
Organization

Contact information

Practice address
4340 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5360
(315) 521-2455
Mailing address
4340 E INDIAN SCHOOL RD STE 21-204, PHOENIX, AZ 85018-5391
(315) 521-2455

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
06/15/2023
Last updated
07/27/2023
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