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Contact Information

AUDREY A KANWISCHER, DO
483 W. SEED FARM RD.
SACATON, AZ85247
 Phone: 602-528-1340
 Fax: 602-528-1296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for AUDREY A KANWISCHER · (Female)

NPI # 1093791568
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/16/2005
Last updated 02/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3744
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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