| Kentromed Pllc | |
|
6130 N La Cholla Blvd Ste 117 Tucson AZ 85741-3589 | |
| (520) 297-1803 | |
| (520) 530-0128 |
| Full Name | Kentromed Pllc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 6130 N La Cholla Blvd Ste 117, Tucson, Arizona |
| Authorized Official Name and Position | Teney B Kentro (OWNER) |
| Authorized Official Contact | 5202971803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentromed Pllc Po Box 36210 Tucson AZ 85740-6210 Ph: (520) 297-1803 | Kentromed Pllc 6130 N La Cholla Blvd Ste 117 Tucson AZ 85741-3589 Ph: (520) 297-1803 |
| NPI Number | 1487922290 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487922290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25062 (Arizona) | Primary |
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