Karen O Kekkonen, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP1201 Issued in AZ

Practice address

4233 W Camino Vivaz
Glendale, AZ 85310-5576

Phone

(602) 826-0900

Fax

(602) 936-0344

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Karen O Kekkonen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1922110790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 W CAMINO VIVAZ",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105576",
            "telephone_number": "602-826-0900",
            "fax_number": "602-936-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 W CAMINO VIVAZ",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105576",
            "telephone_number": "602-826-0900",
            "fax_number": "602-936-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEKKONEN",
        "first_name": "KAREN",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "APN1201",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "102304",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KEKKONEN",
            "middle_name": "O",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maryjoy C Kearns
• Hiedi Keefer
• Krystal Keeler
• Kathleen Ann Keim
• Ashton Keisling
• Mackenzie Ann Kelbel, PA-C
• Michael Randall Keller, MD
• Kellie M Gray PC
• Ruth Kellum
• Kelly Milton, PLLC

• Primary Care Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.