Keith, Kim L

Keith, Kim L is an individual health care provider with primary practice located at 19424 N R H Johnson Blvd , Sun City West AZ 85375-1409. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Keith, Kim L can be contacted via phone (623) 546-4449.

Contact Information

Primary practice address
19424 N R H Johnson Blvd Sun City West AZ 85375-1409
Phone: (623) 546-4449
Fax: (623) 546-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1050 Arizona

Profile Details

NPI number 1669481123
LBN Legal business name Keith, Kim L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1669481123 NPPES
Arizona MEDICAID 780917

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