Provider Type Icon

KINGMAN PULMONARY ASSOCIATES LLC NPI 1447479118


NPI Information

NPI: 1447479118
Provider Name: KINGMAN PULMONARY ASSOCIATES, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1739 E BEVERLY AVE
SUITE 106
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3133
Get Directions

KINGMAN PULMONARY ASSOCIATES, LLC is a specialist in Kingman, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KINGMAN PULMONARY ASSOCIATES, LLC NPI is 1447479118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1739 E BEVERLY AVE
SUITE 106
KINGMAN, AZ
ZIP 86409-593
Phone: (928) 757-3133
Fax: (928) 757-3136

The provider's authorized official is Robert Gregg Matheny .
The authorized official title is President and has the following contact phone number (928) 757-3133.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 12/6/2007.


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
1174400000XSpecialist32495ARIZONAYes

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
178353MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.