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NPI Code Detail

MEDICARE: KENNEDY KOSHMAN

MEDICARE: KENNEDY KOSHMAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1881536134
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY KOSHMAN
Provider Business Mailing Address
First Line : 3160 N ARIZONA AVE STE 105
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-7122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3160 N ARIZONA AVE STE 105
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-7122
Country : US
Telephone Number : 480-365-9981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ KENNEDY KOSHMAN ” Practice Location

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