Healthcare Provider Details

I. General information

NPI: 1518156942
Provider Name (Legal Business Name): AKDHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 W THUNDERBIRD RD STE G790
GLENDALE AZ
85306-4678
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 602-843-7171
  • Fax: 602-843-5909
Mailing address:
  • Phone: 602-759-6883
  • Fax: 602-224-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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