| Kynetic Health, Pllc | |
|
3533 Canyon De Flores Ste A Sierra Vista AZ 85650-5366 | |
| (520) 685-3336 | |
| (520) 685-3846 |
| Full Name | Kynetic Health, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3533 Canyon De Flores Ste A, Sierra Vista, Arizona |
| Authorized Official Name and Position | Ann Lebeck (OWNER/PRESIDENT) |
| Authorized Official Contact | 8083210567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kynetic Health, Pllc 3533 Canyon De Flores Ste A Sierra Vista AZ 85650-5366 Ph: (520) 231-1050 | Kynetic Health, Pllc 3533 Canyon De Flores Ste A Sierra Vista AZ 85650-5366 Ph: (520) 685-3336 |
| NPI Number | 1477179372 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 09/29/2021 |
| Medicare PECOS PAC ID | 0648697649 |
|---|---|
| Medicare Enrollment ID | O20200903003354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477179372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marc A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427049592 PECOS PAC ID: 2466675210 Enrollment ID: I20180302001704 |
| Provider Name | Arthur Jason De Luigi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497861363 PECOS PAC ID: 9739287988 Enrollment ID: I20181001003246 |
| Provider Name | Ann Lebeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821238171 PECOS PAC ID: 7113191768 Enrollment ID: I20200903003442 |
| Provider Name | Franklin Terry Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174057830 PECOS PAC ID: 1355747932 Enrollment ID: I20210907002350 |
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