Kic Scottsdale LLC
NPI #1821560558 in Scottsdale, Arizona
Provider Information
- NPI Number
- 1821560558
- Entity Type
- Organization
- Organization Name
- Kic Scottsdale LLC
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- Dec 19, 2018
- Last Updated
- Nov 19, 2019
Practice Location
- Address
- 10555 N 114TH ST STE 105
- City
- Scottsdale
- State
- Arizona
- ZIP Code
- 85259-4940
- Phone
- (480) 634-6400
Authorized Official
- Name
- MR. CHALLEN WAYCHOFF III
- Title
- COO/MANAGER
- Phone
- (480) 634-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
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