Healthcare Provider Details

I. General information

NPI: 1487569745
Provider Name (Legal Business Name): KAREN DENISE KITCHEYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 E SHEA BLVD STE 164
SCOTTSDALE AZ
85254-4686
US

IV. Provider business mailing address

10327 W MAGNOLIA ST
TOLLESON AZ
85353-1262
US

V. Phone/Fax

Practice location:
  • Phone: 480-641-1165
  • Fax:
Mailing address:
  • Phone: 480-641-1165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: