Healthcare Provider Details

I. General information

NPI: 1861341836
Provider Name (Legal Business Name): JOHN D KUFER JR. RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W THOMAS RD
PHOENIX AZ
85013-4409
US

IV. Provider business mailing address

18240 W CIELO GRANDE AVE
SURPRISE AZ
85387-2382
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-6810
  • Fax: 602-406-6890
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number326142
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: