Provider Demographics
NPI:1093049553
Name:NAVARRETTE, KAY FRANCES (MD)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:FRANCES
Last Name:NAVARRETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5940 W UNION HILLS DR
Mailing Address - Street 2:SUITE D100
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1308
Mailing Address - Country:US
Mailing Address - Phone:602-978-2500
Mailing Address - Fax:602-938-2198
Practice Address - Street 1:5940 W UNION HILLS DR
Practice Address - Street 2:SUITE D100
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1308
Practice Address - Country:US
Practice Address - Phone:602-978-2500
Practice Address - Fax:602-938-2198
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR71114208000000X
AZ43995208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ612149Medicaid