Individual
KEHART LYNN FLOM RACOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4527 N 16TH ST STE 104, PHOENIX, AZ 85016-5353
(602) 845-8000
(602) 845-8001
Mailing address
3921 E MERCER LN, PHOENIX, AZ 85028-3437
(602) 300-0975
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
230888
AZ
Other
Enumeration date
05/01/2019
Last updated
06/08/2020
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