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KINGFISHER FAMILY MEDICINE PLLC NPI 1366121287


NPI Information

NPI: 1366121287
Provider Name: KINGFISHER FAMILY MEDICINE, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D2283900

Address:
14506 W GRANITE VALLEY DR STE 123
SUN CITY WEST, AZ
ZIP 85375
Phone: (623) 250-2150
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KINGFISHER FAMILY MEDICINE, PLLC is a family medicine in Sun City West, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KINGFISHER FAMILY MEDICINE, PLLC NPI is 1366121287. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14506 W GRANITE VALLEY DR STE 123
SUN CITY WEST, AZ
ZIP 85375-012
Phone: (623) 250-2150
Fax: (623) 250-2450

The provider's authorized official is Mark Schulke .
The authorized official title is Physician/owner and has the following contact phone number (623) 250-2150.

The CLIA number assigned to this NPI record is 03D2283900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2023 and was last updated on 8/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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