Kendra A Wellman in Phoenix - Sports Physician

Kendra A Wellman - NPI 1598911604

Kendra A Wellman is a Sports Physician in Phoenix, Arizona. Kendra A Wellman practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kendra A Wellman is 1598911604. The last update date is 2009-10-30.

Kendra A Wellman's current location address is 4646 E Greenway Rd Ste 104, Phoenix, Arizona. You can contact this provider via phone number 6028671444 and fax number 6028677255. The mailing address for Kendra A Wellman is 4646 E Greenway Rd Ste 104, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kendra A Wellman
Address 4646 E Greenway Rd Ste 104, Phoenix, Arizona
Phone Number 6028671444
Fax Number 6028677255
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1598911604
Provider Enumeration Date 2008-08-09
Last Updated Date 2009-10-30

Provider Mailing Address Detail

Address 4646 E Greenway Rd Ste 104
City Phoenix
State Arizona (AZ)
Post Code 850324805
Phone Number 6028671444
Fax Number 6028677255

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 860951102
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Kendra A Wellman

What is the unique 10-digit identifier code issued to Kendra A Wellman by the Centers for Medicare & Medicaid Services?

The Kendra A Wellman has been assigned the NPI (National Provider Identifier) 1598911604 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Kendra A Wellman is located?

The Kendra A Wellman is situated at the following address: 4646 E Greenway Rd Ste 104, Phoenix, AZ, 850324805.

What is the Kendra A Wellman's area of specialization and corresponding taxonomy classification?

The Kendra A Wellman's specialty field is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1598911604 to Kendra A Wellman?

The Kendra A Wellman received its 1598911604 assignment from the Centers for Medicare & Medicaid Services on 2008-08-09.

When was the information regarding Kendra A Wellman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kendra A Wellman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-10-30.

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