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Contact Information

KEARNY LIFE CENTER, LLC
384 ALDEN RD.
KEARNY, AZ85237
 Phone: 520-363-7734
 Fax: 520-363-7213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KEARNY LIFE CENTER LLC · (Female)

NPI Number 1396945531
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2007
Last updated 08/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 5499, 5517
  • AZ Other AZ 0935250 BLUE CROSS BLUE SHIELD
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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