KENNETH ADRIAN BLANCO REDON

COMMUNITY CARE PARTNERS, LLC

Dr KENNETH ADRIAN BLANCO REDON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.

Contact

COMMUNITY CARE PARTNERS, LLC

12035 N SAGUARO BLVD
SUITE 203
FOUNTAIN HILLS
AZ
852684647

Tel: 4804622950

KENNETH ADRIAN BLANCO REDON Information

Npi 1528531274
Pac Id 1951641232
Professional Enrollment Id I20190325000223
Last Name REDON
First Name KENNETH ADRIAN
Middle Name BLANCO
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COMMUNITY CARE PARTNERS, LLC
Group Practice Pac Id 2365710019
Number Of Group Practice Members 3
Line 1 Street Address 12035 N SAGUARO BLVD
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City FOUNTAIN HILLS
State AZ
Zip Code 852684647
Phone Number 4804622950
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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