RED TAIL HAWK RANCH PLLC; NPI #1811872153

Contact Information

RED TAIL HAWK RANCH PLLC

3462 E LAWMAN DR
KINGMAN, AZ 86401-6591

Phone: 702-274-8220
Fax: 928-251-8079
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction Medicine	2083A0300X	84	Physician/Preventive Medicine

Indicates primary specialty

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NPI Profile & details for RED TAIL HAWK RANCH PLLC

NPI #	`1811872153`
LBN Legal business name	RED TAIL HAWK RANCH PLLC
Authorized official	MICHAEL SHEEHY - (MEDICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/06/2025
Last updated	04/28/2026 - About a month ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RED TAIL HAWK RANCH PLLC

Contact Information

Specialty

Addiction Medicine

NPI Profile & details for RED TAIL HAWK RANCH PLLC

Reviews for RED TAIL HAWK RANCH PLLC