Keone Tyau
NPI 1790154151 · on the registry since 2015 · sole proprietor
Practice
- Address
- 500 N Indiana Ave
Winslow, AZ 86004 - Phone
- (928) 289-6116
- Organisation at this address
- Akdhc, Llc
Winslow Indian Health Care Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-16
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