IndividualActive
Bruce Kimura
NPI 1790019016 · Home Modifications Contractor · Phoenix, AZ
Provider details
- NPI number
- 1790019016
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- ROC174046 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
1924 W Greenway Rd
Phoenix, AZ 85023-4309
Phone: (602) 375-3948
Fax: (602) 789-9446
Approximate (ZIP-level) locationGet directions
Mailing address
1924 W Greenway Rd
Phoenix, AZ 85023-4309
Registry dates
- Enumerated
- 2009-09-21
- Last updated
- 2009-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.