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Tadesse Kebede Debele, MD,MS
Student in an Organized Health Care Education/Training Program in Kingman, Arizona
NPI 1164999660

Tadesse Kebede Debele is a Student in an Organized Health Care Education/Training Program based in Kingman, AZ. Tadesse Kebede Debele practices in Kingman, AZ and has the professional credentials of MD,MS. The NPI Number for Tadesse Kebede Debele is 1164999660 and holds a License No. R7887 (Arizona).

The current practice location address for Tadesse Kebede Debele is 2202 N Stockton Hill Rd Ste 101, Kingman, AZ and can be reached out via phone at 702-877-5199 and via fax at 702-431-0265.

Location: 2202 N Stockton Hill Rd Ste 101, Kingman, AZ, 86401-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164999660
Provider Name
Tadesse Kebede Debele
Credential
MD,MS
Provider Entity Type
Individual
Gender
Male
Address
2202 N Stockton Hill Rd Ste 101, Kingman, AZ, 86401-4622
Phone Number
702-877-5199
Fax Number
702-431-0265
Provider Enumeration Date
11/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164999660 05 NV
institution
Provider Business Practice Location Address Details
Address
2202 N Stockton Hill Rd Ste 101
City
Kingman
State
Arizona
Zip
86401-4622
Phone Number
702-877-5199
Fax Number
702-431-0265
person
Provider Business Mailing Address Details
Address
2202 N Stockton Hill Rd Ste 101
City
Kingman
State
Arizona
Zip
86401-4622
Phone Number
702-877-5199
Fax Number
702-431-0265
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
R78887 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA2058 (Nevada)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R7887 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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