Doctor Name: | MS. AUDREY J KESSAY |
NPI Number: | 1508146366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN065782 |
Business Practice Address: | 200 West Hospital Drive Phn Department Whiteriver, AZ - 85941 |
Business Phone Number: | 9283384911 |
Business Fax Number: | 9283383681 |
Mailing Address: | 200 West Hopsital Drive Po Box 860, Indian Health Service WHITERIVER |
State: | AZ |
Postal Code: | 85941 |
Phone Number: | 9283383684 |
Fax Number: | 9283383681 |
NPI Enumeration Date: | 08/25/2011 |
NPI Last Update Date: | 08/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN065782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |