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Kevin Omolo, PhD

In Home Supportive Care in Chandler, AZ. Individual provider (NPI-1).

NPI number1831970367
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1831970367
Entity type
Individual (NPI-1)
Name
Kevin Omolo
Credential
PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 10, 2023
Certification date
Oct 10, 2023
Last updated
Oct 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care–AZYes

Practice location

3250 S Arizona Ave Apt 2138
Chandler, AZ 85248-2736

Phone 480-252-7188

Mailing address

3250 S Arizona Ave Apt 2138
Chandler, AZ 85248-2736

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