| Doctor Name: | RACHEL KENNAMER |
| NPI Number: | 1457720765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | AP7889 |
| Business Practice Address: | 1520 E Hammer Ln #109 Fort Mohave, AZ - 864266664 |
| Business Phone Number: | 9287887000 |
| Business Fax Number: | 9287889900 |
| Mailing Address: | 1520 E Hammer Ln, #109 FORT MOHAVE |
| State: | AZ |
| Postal Code: | 864266664 |
| Phone Number: | 9287887000 |
| Fax Number: | 9287889900 |
| NPI Enumeration Date: | 09/16/2015 |
| NPI Last Update Date: | 11/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | AP7889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |