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DR. KEN ERNEST ROOT D.O. NPI 1891769360


NPI Information

NPI: 1891769360
Provider Name: DR. KEN ERNEST ROOT, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
2730 S VAL VISTA DR
SUITE # 146
GILBERT, AZ
ZIP 85295
Phone: (480) 926-0644
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DR. Ken Ernest Root, D.O. is a neurology psychiatry neurology in Gilbert, AZ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Ken Ernest Root, D.O. NPI is 1891769360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2730 S VAL VISTA DR
SUITE # 146
GILBERT, AZ
ZIP 85295-675
Phone: (480) 926-0644
Fax: (480) 926-0645

The enumeration date for this NPI number is 2/13/2006 and was last updated on 9/4/2007.


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
12084N0400XPsychiatry & NeurologyNeurology1688ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E20698MEDICARE UPINARIZONA

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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