Kenneth R Boren is a Nephrology in Mesa, Arizona. Kenneth R Boren practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Kenneth R Boren is 1043205511. The last update date is 2020-08-11.
Kenneth R Boren's current location address is 4040 E Mclellan Rd Unit 11, Mesa, Arizona. You can contact this provider via phone number 4802292829. The mailing address for Kenneth R Boren is 4040 E Mclellan Rd Unit 11, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R Boren |
|---|---|
| Address | 4040 E Mclellan Rd Unit 11, Mesa, Arizona |
| Phone Number | 4802292829 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043205511 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | 4040 E Mclellan Rd Unit 11 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852053105 |
| Phone Number | 4802292829 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 12288 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 226911 | AZ | -- |
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What is the unique identifier code issued to Kenneth R Boren by the Centers for Medicare & Medicaid Services?
The Kenneth R Boren has been assigned the NPI (National Provider Identifier) 1043205511. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth R Boren located?
The Kenneth R Boren is located at 4040 E Mclellan Rd Unit 11, Mesa, AZ 852053105.
What is the Kenneth R Boren's specialty and taxonomy code?
The Kenneth R Boren's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
When did Kenneth R Boren receive its 1043205511 assignment?
The Kenneth R Boren was assigned its 1043205511 on 2005-09-12, which is the date when this unique identifier was issued to the organization.
When was the Kenneth R Boren's information last updated?
The Kenneth R Boren's information was last updated on 2020-08-11.
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