Healthcare Provider Details

I. General information

NPI: 1336638113
Provider Name (Legal Business Name): KEVIN LESTER ALMOJUELA ARANAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N WILMOT RD STE B250
TUCSON AZ
85712-4416
US

IV. Provider business mailing address

2728 NE 204TH ST
SHORELINE WA
98155-1430
US

V. Phone/Fax

Practice location:
  • Phone: 520-420-2212
  • Fax:
Mailing address:
  • Phone: 206-823-7456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number72978
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number72978
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: