DR. MD Kenneth John Bescak, NPI 1164401592
Cardiovascular Disease Physician in Cottonwood, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1164401592
NPI Entity Type Individual
Provider Name DR. MD Kenneth John Bescak
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 294 W State Route 89a, Suite 107, Cottonwood, AZ, US
Provider Mailing Address 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ, US, 860013118
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0000X

Taxonomy Name Cardiovascular Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 40903
License State AZ
Description An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. MD Kenneth John Bescak
294 W State Route 89a
Suite 107

Cottonwood, AZ, US

Phone: 928-634-1331
Fax: 928-634-3130

Mailing Address

DR. MD Kenneth John Bescak
1200 N Beaver St
Payer Credentialing
Flagstaff, AZ, US
ZIP 860013118
Phone: 928-213-6235
Fax: 928-213-6292

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RC0000X

Allopathic & Osteopathic Physicians

Internal Medicine

35036051 OH No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
E36051 OH SUMMA 01
0413832 OH MEDICAID 05
000000128703 OH ANTHEM 01
100402 OH KAISER 01
413507 AZ MEDICAID 05
060013315 RAILROAD MEDICARE # 01
341221800045 OH CARESOURCE 01

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