Provider Demographics
NPI:1598710675
Name:SWINDLE, KERRY K (MD)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:K
Last Name:SWINDLE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:STE A-100 ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:6565 E CARONDELET DR
Practice Address - Street 2:#215 DESERT SPRING FAMILY CARE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2157
Practice Address - Country:US
Practice Address - Phone:520-547-1887
Practice Address - Fax:520-547-1893
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2010-03-01
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Provider Licenses
StateLicense IDTaxonomies
AZ16217207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D00403Medicare UPIN