IndividualActive
Alexandre Grebenchtchikov
NPI 1053206797 · Family Medicine Physician · Kingman, AZ
Provider details
- NPI number
- 1053206797
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- R4611 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (716) 560-1845
Approximate (ZIP-level) locationGet directions
Mailing address
7802 E Sabino Hollow Ct
Tucson, AZ 85750-7223
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.