Anaeme, Kenneth O
Anaeme, Kenneth O is an sole proprietor health care provider with primary practice located at 2600 E Southern Ave Ste F2 , Tempe AZ 85282-7626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anaeme, Kenneth O can be contacted via phone (480) 625-4704.Contact Information
Primary practice address
2600 E Southern Ave Ste F2
Tempe AZ 85282-7626
Phone: (480) 625-4704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30256 | Arizona |
Profile Details
| NPI number | 1386618650 |
|---|---|
| LBN Legal business name | Anaeme, Kenneth O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386618650 | NPPES |
| Arizona | Other | 30256 | LICENSE |
| Arizona | MEDICAID | 699027 | LICENSE |
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