Belkoff, Kenneth Marc

Belkoff, Kenneth Marc is an individual health care provider with primary practice located at 5670 N Professional Park Dr Suite 100, Tucson AZ 85704-7878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Belkoff, Kenneth Marc can be contacted via phone (520) 618-1010.

Contact Information

Primary practice address
5670 N Professional Park Dr Suite 100 Tucson AZ 85704-7878
Fax: (520) 784-7040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2683 Arizona

Profile Details

NPI number 1760410526
LBN Legal business name Belkoff, Kenneth Marc
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760410526 NPPES
Arizona MEDICAID 106741

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