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Contact Information

YUMA KIDS CLINIC, PLLC
2851 S AVE B STE 2951
YUMA, AZ85364
 Phone: 928-783-1222
 Fax: 928-783-1444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for YUMA KIDS CLINIC PLLC · (Female)

NPI Number 1336471705
Status Active
Credentials
Entity Individual
Enumeration date 02/09/2010
Last updated 10/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 42670
  • AZ Medicaid 487987
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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