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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

NPI # 1396945531
LBN Legal business name KEARNY LIFE CENTER, LLC
Authorized official GLENN AZZARI - (CHIROPRACTOR/PARTNER OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2007
Last updated 08/19/2008 - About 18 years ago
Identifiers
AZ License # 5499, 5517
AZ Other AZ 0935250 BLUE CROSS BLUE SHIELD
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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