OrganizationActive
Kic Scottsdale LLC
NPI 1821560558 · Infusion Therapy Clinic/Center · Scottsdale, AZ
Provider details
- NPI number
- 1821560558
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Challen Waychoff, Coo/Manager(480) 634-6400
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10555 N 114th St Ste 105
Scottsdale, AZ 85259-4940
Phone: (480) 634-6400
Fax: (480) 404-9649
Approximate (ZIP-level) locationGet directions
Mailing address
3724 N 3rd St Ste 301
Phoenix, AZ 85012-2035
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2019-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.