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Contact Information

KEVIN SANDERS
CORNER OF RTE N12 AND N7
FORT DEFIANCE, AZ86504-0649
 Phone: 928-729-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care

2278C0205X
Indicates primary specialty

NPI Profile & details for KEVIN SANDERS · (Male)

NPI # 1508579939
Status Active
Credentials
Entity Individual
Enumeration date 12/30/2022
Last updated 12/30/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # RCP00057334
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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