Flanagan, Kenneth George

Flanagan, Kenneth George is an individual health care provider with primary practice located at 14200 W Celebrate Life Way , Goodyear AZ 85338-3007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Flanagan, Kenneth George can be contacted via phone (623) 207-3000.

Contact Information

Primary practice address
14200 W Celebrate Life Way Goodyear AZ 85338-3007
Phone: (623) 207-3000
Fax: (623) 207-3717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G-042072 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 23652 Arizona

Profile Details

NPI number 1760464853
LBN Legal business name Flanagan, Kenneth George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 10th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760464853 NPPES
Arizona Other 23652 MEDICAL LIC
Arizona Other DR.0053599 MEDICAL LIC
Arizona Other G-042072 MEDICAL LIC

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