Kick Start Integrative Health PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KICK START INTEGRATIVE HEALTH PLLC

Practice address

6320 W Union Hills Dr Ste B1500
Glendale, AZ 85308-1062

Phone

(623) 776-6633

Fax

(602) 428-6860

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Andrew B Anthony, D.C., FNP-CNPI 1710003355

Title

Owner/President

Phone

(623) 776-6633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew B. Anthony, D.C., FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1710003355
  NPD Authorized official

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1609576123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE B1500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081062",
            "telephone_number": "623-776-6633",
            "fax_number": "602-428-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE B1500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081062",
            "telephone_number": "623-776-6633",
            "fax_number": "602-428-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICK START INTEGRATIVE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "623-776-6633",
        "authorized_official_credential": "D.C., FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordi Khera, MD
• Manuella D Khoshaba
• Sanjeev Khurana, MD
• Sukhdeep Singh Khurana
• Mildred Denise Kiawoin, FNP
• Kidfinity PC (Kidfinity Pediatrics)
• Kids Possible Therapy L.L.C.
• Kidshealth Pediatrics PLLC(Glendale)
• Alison Marie Kiefer, RD
• Christine R Kielb, D.M.D

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.