Healthcare Provider Details
I. General information
NPI: 1013541507
Provider Name (Legal Business Name): KZ CONSULTANTS PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2020
Last Update Date: 08/21/2020
Certification Date: 08/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5080 N0RTH 40ST SUITE 103
PHOENIX AZ
85018-8501
US
IV. Provider business mailing address
3104 E CAMELBACK RD # 1035
PHOENIX AZ
85016-4502
US
V. Phone/Fax
- Phone: 480-772-2453
- Fax: 480-452-1123
- Phone: 480-772-2453
- Fax: 480-452-1123
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KEITH
G.
ZACHER
Title or Position: SURGEON
Credential: MD
Phone: 480-772-2453