Ede, Kaleo C

Ede, Kaleo C is an individual health care provider with primary practice located at 1920 E Cambridge Ave Suite 200, Phoenix AZ 85006-1459. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Ede, Kaleo C can be contacted via phone (602) 933-0909.

Contact Information

Primary practice address
1920 E Cambridge Ave Suite 200 Phoenix AZ 85006-1459
Phone: (602) 933-0909
Fax: (602) 933-0911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A91852 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A91852 California
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X A91852 California
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 37734 Arizona

Profile Details

NPI number 1619058260
LBN Legal business name Ede, Kaleo C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Feb 12th, 2019 - about 6 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 1619058260 NPPES
Arizona MEDICAID 335953
Arizona MEDICAID 00A918520

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