Healthcare Provider Details

I. General information

NPI: 1396654778
Provider Name (Legal Business Name): AKDHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 N F AVE
DOUGLAS AZ
85607-2022
US

IV. Provider business mailing address

3333 E CAMELBACK RD STE 180
PHOENIX AZ
85018-2396
US

V. Phone/Fax

Practice location:
  • Phone: 520-585-4741
  • Fax: 520-335-6498
Mailing address:
  • Phone: 602-997-0484
  • Fax: 602-944-6882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN KLEIN
Title or Position: VP OF PHYSICIAN SERVICES
Credential:
Phone: 602-997-0484