IndividualActive
Jack Kaplan
NPI 1972703692 · Driver · Peoria, AZ
Provider details
- NPI number
- 1972703692
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- D04449259 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
29156 N 122nd Dr
Peoria, AZ 85383-2423
Phone: (623) 512-0625
Approximate (ZIP-level) locationGet directions
Mailing address
29156 N 122nd Dr
Peoria, AZ 85383-2423
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.