Dr. Kevin Clark Isidro, MD
Internal Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1669935458
StatusActive
Last updated in NPPESJun 27, 2022
Details
- NPI
- 1669935458
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Clark Isidro
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2019
- Certification date
- Apr 19, 2022
- Last updated
- Jun 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 65147 | AZ | Yes |
| 207R00000X | Internal Medicine | R77280 | AZ | |
| 208M00000X | Hospitalist | 65147 | AZ |
Practice location
250 E Dunlap AvePhoenix, AZ 85020-2825
Phone 602-445-0751 · Fax 602-424-8128
Mailing address
9225 N 3rd St Ste 300Phoenix, AZ 85020-2466
Phone 602-445-0751 · Fax 602-424-8128
Other practice locations
9225 N 3rd St Ste 300
Phoenix, AZ 85020-2466
Phoenix, AZ 85020-2466
Phone 602-445-0751 · Fax 602-424-8128
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