Provider Type Icon

KELVIN S CREZEE DPM PC NPI 1689793895


NPI Information

NPI: 1689793895
Provider Name: KELVIN S CREZEE DPM PC

Doing Business As: AHWATUKEE ANKLE FOOT AND LEG CENTER

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
15810 S 45TH ST STE 190
PHOENIX, AZ
ZIP 85048
Phone: (480) 893-1090
Get Directions

KELVIN S CREZEE DPM PC is a foot and ankle surgery podiatrist in Phoenix, AZ. KELVIN S CREZEE DPM PC NPI is 1689793895. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ahwatukee Ankle Foot And Leg Center.

The provider's business location address is:

15810 S 45TH ST STE 190
PHOENIX, AZ
ZIP 85048-697
Phone: (480) 893-1090
Fax: (480) 598-1458

The provider's authorized official is Kelvin S Crezee .
The authorized official title is Owner and has the following contact phone number (480) 893-1090.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 9/19/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery0328ARIZONAYes

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
1ZWDCDQMEDICARE PINARIZONA
20653000001MEDICARE NSCARIZONA
3DA4427OTHERARIZONARAILROAD MEDICARE
4Z116844MEDICARE PINARIZONA

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

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.