person
Kerry Knievel, DO
Neurology Physician in Phoenix, Arizona
NPI 1578745634

Kerry Knievel is a Neurology Physician based in Phoenix, AZ and is specialized in Neurology. Kerry Knievel practices in Phoenix, AZ and has the professional credentials of DO. The NPI Number for Kerry Knievel is 1578745634 and holds a License No. 005732 (Arizona).

The current practice location address for Kerry Knievel is 240 W Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-406-6262 and via fax at 602-406-6260.

Location: 240 W Thomas Rd, Phoenix, AZ, 85013-4407
person
Provider Profile Details
NPI Number
1578745634
Provider Name
Kerry Knievel
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
240 W Thomas Rd, Phoenix, AZ, 85013-4407
Phone Number
602-406-6262
Fax Number
602-406-6260
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005732 01 AZ MEDICAL LICENSE
726415 05 AZ
institution
Provider Business Practice Location Address Details
Address
240 W Thomas Rd
City
State
Zip
85013-4407
Phone Number
602-406-6262
Fax Number
602-406-6260
person
Provider Business Mailing Address Details
Address
240 W Thomas Rd
City
State
Zip
85013-4407
Phone Number
602-406-6262
Fax Number
602-406-6260
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
005732 (Arizona)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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