NPI
Ksp Health - Arizona LLC
NPI 1104607142
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2023-10-06
- Last updated
- 2024-01-02
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Specialties
- 208000000XPediatrics · Primary
- 163WP0200XRegistered Nurse, Pediatrics
- 207NP0225XDermatology, Pediatric Dermatology
- 2080P0006XPediatrics, Developmental - Behavioral Pediatrics
- 2080P0008XPediatrics, Neurodevelopmental Disabilities
- 2080P0201XPediatrics, Pediatric Allergy/Immunology
- 2080P0202XPediatrics, Pediatric Cardiology
- 2080P0203XPediatrics, Pediatric Critical Care Medicine
- 2080P0205XPediatrics, Pediatric Endocrinology
- 2080P0206XPediatrics, Pediatric Gastroenterology
- 2080P0207XPediatrics, Pediatric Hematology-Oncology
- 2084B0040XPsychiatry & Neurology, Behavioral Neurology & Neuropsychiatry
Licenses
The registry row did not include a license.
Location
- Practice location
- 1846 E Innovation Park Dr Ste 100
- City
- Oro Valley AZ
- Postal code
- 85755-1963
- Phone
- (234) 260-6212
Organization contact
- Name
- Muthukumar Vellaichamy
- Title
- Owner
- Phone
- (234) 260-6212
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Oro Valley, AZ. 772 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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