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Individual

ANTHONY T KENRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4530 E MUIRWOOD DR STE 110, PHOENIX, AZ 85048-7693
(480) 763-5808
(480) 759-0647
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3181
(602) 264-2417

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R76151
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
62512
AZ

Other

Enumeration date
06/05/2017
Last updated
04/28/2021
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