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KICK START INTEGRATIVE HEALTH PLLC NPI 1609576123


NPI Information

NPI: 1609576123
Provider Name: KICK START INTEGRATIVE HEALTH PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6320 W UNION HILLS DR STE B1500
GLENDALE, AZ
ZIP 85308
Phone: (623) 776-6633
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KICK START INTEGRATIVE HEALTH PLLC is a family medicine in Glendale, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KICK START INTEGRATIVE HEALTH PLLC NPI is 1609576123. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6320 W UNION HILLS DR STE B1500
GLENDALE, AZ
ZIP 85308-062
Phone: (623) 776-6633
Fax: (602) 428-6860

The provider's authorized official is Andrew B Anthony .
The authorized official title is Owner/president and has the following contact phone number (623) 776-6633.

The enumeration date for this NPI number is 3/3/2023 and was last updated on 6/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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