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Contact Information

KENNETH O ANAEME LLC
2600 E SOUTHERN AVE STE F2
TEMPE, AZ85282-7626
 Phone: 480-625-4704
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KENNETH O ANAEME LLC

NPI # 1033270723
LBN Legal business name KENNETH O ANAEME LLC
Authorized official KENNETH ANAEME - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 03/14/2023 - About 3 years ago
Identifiers
AZ License # 30256
AZ Medicaid 324464
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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