NPI | 1730141243 |
---|---|
Other Name | KINO PHYSICIANS GROUP |
Entity Type | Organization |
Authorized Contact | TANYA CASARES Credentialing Liaison 520-874-4135 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ BHH-2436) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: AZ BHH-2436) |
103T00000X Psychologist (Licence: AZ BHH-2436) | |
1041C0700X Social Worker, Clinical (Licence: AZ BHH-2436) | |
104100000X Social Worker (Licence: AZ BHH-2436) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ BHH-2436) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ BHH-2436) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2023-03-07 |