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Derik K Kenworthy, DO
Diagnostic Radiology Physician in Chandler, Arizona
NPI 1861726077

Derik K Kenworthy is a Diagnostic Radiology Physician based in Mesa, AZ and is specialized in Diagnostic Radiology. Derik K Kenworthy practices in Chandler, AZ and has the professional credentials of DO. The NPI Number for Derik K Kenworthy is 1861726077 and holds a License No. DO220167 (Arizona).

The current practice location address for Derik K Kenworthy is 1979 W Ray Rd, Chandler, AZ and can be reached out via phone at 480-821-9404 and via fax at 480-857-1490.

Location: 1979 W Ray Rd, Chandler, AZ, 85209-3378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861726077
Provider Name
Derik K Kenworthy
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1979 W Ray Rd, Chandler, AZ, 85209-3378
Phone Number
480-821-9404
Fax Number
480-857-1490
Provider Enumeration Date
09/22/2009
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z173125 01 MEDICARE PTAN
503865 05 AZ
institution
Provider Business Practice Location Address Details
Address
1979 W Ray Rd
City
Chandler
State
Arizona
Zip
85224-4007
Phone Number
480-821-9404
Fax Number
480-857-1490
person
Provider Business Mailing Address Details
Address
1979 W Ray Rd
City
Chandler
State
Arizona
Zip
85224-4007
Phone Number
480-821-9404
Fax Number
480-857-1490
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
DO220167 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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