Kellie Marie Kaesche, RN | |
1919 E Thomas Rd, Phoenix, AZ 85016-7710 | |
(602) 933-0935 | |
(602) 933-2471 |
Full Name | Kellie Marie Kaesche |
---|---|
Gender | Female |
Speciality | Registered Nurse - Diabetes Educator |
Location | 1919 E Thomas Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245983857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD0400X | Registered Nurse - Diabetes Educator | 233980 (Arizona) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
---|---|
Kellie Marie Kaesche, RN 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-1813 | Kellie Marie Kaesche, RN 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-0935 |
Mrs. Korena Ayn Fine, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 650 E Indian School Rd, Phoenix, AZ 85012 Phone: 602-277-5551 | |
Wendy Razo, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 Fax: 602-263-1631 | |
Sara Julander, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013 Phone: 602-277-4161 Fax: 602-266-3481 | |
Karen Wallerich, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15002 N 32nd St, Phoenix, AZ 85032 Phone: 602-867-5223 | |
Lily Anne Nolan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6218 S 7th St, Phoenix, AZ 85042 Phone: 602-304-3117 Fax: 602-304-3132 | |
Kimberly Ann Shibata, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20402 N 15th Ave, Phoenix, AZ 85027 Phone: 623-445-4952 Fax: 623-445-5079 | |
Thomas Ryan Hall, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 Fax: 602-263-1631 |