Ksp Health - Arizona LLC
Pediatrics in Oro Valley, AZ. Organization (NPI-2).
NPI number1104607142
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1104607142
- Entity type
- Organization (NPI-2)
- Legal business name
- Ksp Health - Arizona LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2023
- Certification date
- Oct 6, 2023
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 163WP0200X | Registered Nurse, Pediatrics | – | – | |
| 207NP0225X | Dermatology, Pediatric Dermatology | – | – | |
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | – | – | |
| 2080P0008X | Pediatrics, Neurodevelopmental Disabilities | – | – | |
| 2080P0201X | Pediatrics, Pediatric Allergy/Immunology | – | – | |
| 2080P0202X | Pediatrics, Pediatric Cardiology | – | – | |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | – | – | |
| 2080P0205X | Pediatrics, Pediatric Endocrinology | – | – | |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | – | – | |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | – | – | |
| 2084B0040X | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | – | – |
Other names
- Ksp Health - Arizona LLC (Doing Business As)
Practice location
1846 E Innovation Park Dr Ste 100Oro Valley, AZ 85755-1963
Phone 234-260-6212
Mailing address
6446 E Central Ave Ste 183Wichita, KS 67206-1923
Phone 234-260-6212
Authorized official
Muthukumar Vellaichamy
Owner
2342606212
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Other Pediatrics Physician providers in Oro Valley, AZ
- Efren Bernal, MDNPI 1831727007
- Mai El Gasim, MDNPI 1477940310
- Diana Lynn Honebrink, M.D.NPI 1679587646
- Jennifer Tatiana Jara Gomez, MDNPI 1164076022
- Oro Valley Pediatrics, P.C.NPI 1154440444
- Derinda Ann Radjeski, MDNPI 1629077177
- John Peter Seward, MDNPI 1710086624
- Christa R. Whittard, MDNPI 1023013224
All 9 Pediatrics Physician providers in Oro Valley · All 772 providers in Oro Valley
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