person
Mr. Kevin Lamar Redus, PA-C
Surgical Physician Assistant in Wickenburg, Arizona
NPI 1164425633

Kevin Lamar Redus is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Kevin Lamar Redus practices in Wickenburg, AZ and has the professional credentials of PA-C. The NPI Number for Kevin Lamar Redus is 1164425633 and holds a License No. 2477 (Arizona).

The current practice location address for Kevin Lamar Redus is 520 Rose Ln, Wickenburg, AZ and can be reached out via phone at 928-684-5421 and via fax at 289-684-7457. You can also correspond with Kevin Lamar Redus through the mailing address at 3811 E BELL RD STE 309, PHOENIX, AZ - 85032-2160 (mailing address contact number: 480-420-0749).

Location: 520 Rose Ln, Wickenburg, AZ, 85032-2160
person
Provider Profile Details
NPI Number
1164425633
Provider Name
Kevin Lamar Redus
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
520 Rose Ln, Wickenburg, AZ, 85032-2160
Phone Number
928-684-5421
Fax Number
289-684-7457
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0146700 01 AZ BLUE CROSS BLUE SHIELD AZ
577786001 05 AZ
institution
Provider Business Practice Location Address Details
Address
520 Rose Ln
City
State
Zip
85390-1447
Phone Number
928-684-5421
Fax Number
289-684-7457
person
Provider Business Mailing Address Details
Address
3811 E Bell Rd Ste 309
City
State
Zip
85032-2160
Phone Number
480-420-0749
Fax Number
480-420-0732
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2477 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2477 (Arizona)
Definition
Definition to come...
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