Ktl Plastic Surgery

LBN: Ktl Plastic Surgery
Ktl Plastic Surgery is an health care organization with primary practice located at 10910 N Tatum Blvd Ste B100 , Phoenix AZ 85028-3080. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Ktl Plastic Surgery can be contacted via phone (631) 827-8159, or through James, Mathew via phone (631) 827-8159.

Contact Information

Primary practice address
10910 N Tatum Blvd Ste B100 Phoenix AZ 85028-3080
Phone: (631) 827-8159
Fax:
Website:
Map and Directions
Authorized official contact:
Name: James, Mathew
Phone: (631) 827-8159

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1053834739
LBN Legal business name Ktl Plastic Surgery
DBA Doing business as
Authorized official James, Mathew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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