Kingman Neurology

Primary specialty

SpecialistTaxonomy code 174400000X

License

32057 Issued in AZ

Legal business name

KINGMAN NEUROLOGY

Practice address

1730 E Beverly Ave
Kingman, AZ 86409-3500

Phone

(928) 681-8288

Fax

(928) 681-8289

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nimfa R Aguila, M.D.

Title

Physician

Phone

(928) 681-8288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205042223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E BEVERLY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093500",
            "telephone_number": "928-681-8288",
            "fax_number": "928-681-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E BEVERLY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093500",
            "telephone_number": "928-681-8288",
            "fax_number": "928-681-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGMAN NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILA",
        "authorized_official_first_name": "NIMFA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-681-8288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingman Healthcare, Inc (KRMC Urgent Care)
• Kingman Healthcare, Inc (KRMC Community Pharmacy)
• Kingman Hometown Pharmacy LLC (Kingman Hometown Pharmacy)
• Kingman Hospital Inc
• Kingman Kidney Clinic Inc.
• Kingman No 1 LLC (Desert Highlands Care Center)
• Kingman Oncology Institute LLC
• Kingman Pulmonary Associates, LLC
• Kingman Radiology Associates LLC
• Kingman Senior Living, LLC (White Cliffs Senior Living)

• Specialist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.