Kahkonen, Martti Ellis

Kahkonen, Martti Ellis is an individual health care provider with primary practice located at 1050 Gail Gardner Way Ste 100 , Prescott AZ 86305-1631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Kahkonen, Martti Ellis can be contacted via phone (928) 777-0700.

Contact Information

Primary practice address
1050 Gail Gardner Way Ste 100 Prescott AZ 86305-1631
Phone: (928) 777-0700
Fax: (928) 445-4464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 35051440 Ohio
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 56015 Arizona

Profile Details

NPI number 1336211101
LBN Legal business name Kahkonen, Martti Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Sep 11th, 2018 - about 7 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 1336211101 NPPES
Arizona Other 56015 ARIZONA MEDICAL LICENSE

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