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
1	207RN0300X	Nephrology Physician		AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720502073
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	:	4475 S I 19 FRONTAGE RD STE 101
Second Line	:
City	:	GREEN VALLEY
State	:	AZ
Zip	:	85614-5884
Country	:	US
Telephone Number	:	520-622-3569
Fax Number	:	520-623-7257

Authorized Official
Title or Position	:	DIRECTOR OF PHYSICIAN SERVICES
Name	:	MS. KRISTEN KLEIN
Credential	:
Telephone Number	:	602-997-0484

Provider Enumeration Date	:	07/28/2017
Last Update Date	:	11/27/2024

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1386096535 — YUZHOU LIU MD
Practice Location Address:

4455 S I 19 FRONTAGE RD
GREEN VALLEY, AZ
85614-5884

Practice Phone: 917-494-9148
Practice Fax:

1245655711 — JACQUELINE GOMEZ NP
Practice Location Address:

4485 S I 19 FRONTAGE RD STE 100
GREEN VALLEY, AZ
85614-5884

Practice Phone: 520-399-6000
Practice Fax: 520-399-6002

1972968360 — UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.
Practice Location Address:

4475 S I 19 FRONTAGE RD
GREEN VALLEY, AZ
85614-5884

Practice Phone: 520-407-5606
Practice Fax: 520-625-8504

1497296362 — STEPHANIE LYNN KELLY NP-C
Practice Location Address:

4475 S I 19 FRONTAGE RD STE 139
GREEN VALLEY, AZ
85614-5884

Practice Phone: 520-407-5910
Practice Fax: 520-407-5990

1265925713 — LISA LINN OLSON FNP
Practice Location Address:

4475 S I 19 FRONTAGE RD STE 255
GREEN VALLEY, AZ
85614-5884

Practice Phone: 520-393-4863
Practice Fax:

Directions to “AKDHC, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.