Kristi Kristine Ice in Phoenix - Medical
Kristi Kristine Ice - NPI 1265654180
Kristi Kristine Ice is a Medical in Phoenix, Arizona. Kristi Kristine Ice practices all healthcare services and medical treatments related to Medical. The NPI Number for Kristi Kristine Ice is 1265654180. The last update date is 2007-07-08.
Kristi Kristine Ice's current location address is 3933 East Edna, Phoenix, Arizona. You can contact this provider via phone number 6025695437 and fax number 6024824640. The mailing address for Kristi Kristine Ice is 3933 East Edna, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi Kristine Ice |
|---|---|
| Address | 3933 East Edna, Phoenix, Arizona |
| Phone Number | 6025695437 |
| Fax Number | 6024824640 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265654180 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3933 East Edna |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85032 |
| Phone Number | 6025695437 |
| Fax Number | 6024824640 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3098 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Kristi Kristine Ice's 1265654180?
The Kristi Kristine Ice's NPI (National Provider Identifier) Number is 1265654180. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kristi Kristine Ice is geographically located?
The Kristi Kristine Ice is physically situated at the following location: 3933 East Edna, Phoenix, AZ, 85032.
What is the Kristi Kristine Ice's specialty and taxonomy code?
The Kristi Kristine Ice's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did Kristi Kristine Ice receive its 1265654180 assignment from the Centers for Medicare & Medicaid Services?
The Kristi Kristine Ice was assigned its 1265654180 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kristi Kristine Ice most recently updated or revised?
The details related to Kristi Kristine Ice, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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