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NPI Code Detail

MEDICARE: AKDHC, LLC

MEDICARE: AKDHC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianAZ

General Provider Information

NPI Number : 1275918211
Entity Type Code : Organization
Provider Name (Legal Business Name) : AKDHC, LLC
Provider Business Mailing Address
First Line : 3333 E CAMELBACK RD STE 180
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-2396
Country : US
Telephone Number : 602-759-6883
Fax Number : 602-224-3358
Provider Business Practice Location Address
First Line : 18699 N 67TH AVE STE 280
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-7149
Country : US
Telephone Number : 623-240-4277
Fax Number : 623-566-0263
Authorized Official
Title or Position : DIRECTOR OF PHYSICIAN SERVICES
Name : MS. KRISTEN KLEIN
Credential :
Telephone Number : 602-997-0484
Provider Enumeration Date : 07/20/2015
Last Update Date : 11/27/2024

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Directions to “AKDHC, LLC ” Practice Location

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