| NPI | 1609561828 |
|---|---|
| Doing Business As | KINGMAN FAMILY WALK IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA AGUIRRE President And CEO 928-315-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-09-07 |