Mortenson, Kirsten
Mortenson, Kirsten is an individual health care provider with primary practice located at 3636 N Stockton Hill Rd , Kingman AZ 86409-0514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mortenson, Kirsten can be contacted via phone (928) 757-4398.Contact Information
Primary practice address
3636 N Stockton Hill Rd
Kingman AZ 86409-0514
Phone: (928) 757-4398
Fax: (928) 757-7224
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2779 | Arizona |
Profile Details
NPI number | 1174517767 |
---|---|
LBN Legal business name | Mortenson, Kirsten |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174517767 | NPPES |
Arizona | MEDICAID | 066987 |
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