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KIDS KARE PEDIATRICS NPI 1699144857


NPI Information

NPI: 1699144857
Provider Name: KIDS KARE PEDIATRICS
Classification: Point of Service - 305S00000X
Entity Type: Organization

CLIA Number: 03D2052282

Address:
521 W THOMAS RD
PHOENIX, AZ
ZIP 85013
Phone: (602) 254-0390
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KIDS KARE PEDIATRICS is a point of service in Phoenix, AZ. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KIDS KARE PEDIATRICS NPI is 1699144857. The provider is registered as an organization entity type.

The provider's business location address is:

521 W THOMAS RD
PHOENIX, AZ
ZIP 85013-240
Phone: (602) 254-0390

The provider's authorized official is Carlos Lopez .
The authorized official title is Ceo and has the following contact phone number (602) 254-0390.

The CLIA number assigned to this NPI record is 03D2052282 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2015 and was last updated on 9/17/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceYes

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: 4/28/2024

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