Healthcare Provider Details

I. General information

NPI: 1457976862
Provider Name (Legal Business Name): MOLLEN & KINSLEY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 N 90TH ST
SCOTTSDALE AZ
85260-2788
US

IV. Provider business mailing address

16601 N 90TH ST
SCOTTSDALE AZ
85260-2788
US

V. Phone/Fax

Practice location:
  • Phone: 480-900-2222
  • Fax: 480-382-2932
Mailing address:
  • Phone: 480-900-2222
  • Fax: 480-382-2932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR MOLLEN
Title or Position: OWNER
Credential: DO
Phone: 602-909-2940