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Search › Arizona › 106S00000X

Kenyon Boatman, RBT

NPI 1154153534 · on the registry since 2024

Practice

Address
1840 N 95th Ave Ste 140
Phoenix, AZ 85037
Phone
(623) 264-8188
Fax
(317) 520-8200
Organisation at this address
Hopebridge Llc
Lucky Pennies Llc
Genoa Healthcare Llc
Southwest Network, Inc.
Jewish Family & Children'S Service
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona