Martti Ellis Kahkonen, MD | |
1050 Gail Gardner Way Ste 100, Prescott, AZ 86305-1631 | |
(928) 777-0700 | |
(928) 445-4464 |
Full Name | Martti Ellis Kahkonen |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 1050 Gail Gardner Way Ste 100, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336211101 | NPI | - | NPPES |
56015 | Other | AZ | ARIZONA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 35051440 (Ohio) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 56015 (Arizona) | Primary |
Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
Mailing Address | Practice Location Address |
---|---|
Martti Ellis Kahkonen, MD Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5874 | Martti Ellis Kahkonen, MD 1050 Gail Gardner Way Ste 100, Prescott, AZ 86305-1631 Ph: (928) 777-0700 |
Dr. Carlton Koons Meschievitz, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 222 Jacob Ln, Prescott, AZ 86303 Phone: 248-759-0474 | |
Dr. Edward Anthony Kalpas, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 | |
Dr. William Danny Brown, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-445-4860 |