Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN MICHAEL FORDELL, P.A.
Active Sole ProprietorMR. KEVIN MICHAEL FORDELL, P.A. is a Emergency Medicine healthcare provider located in MESA, Arizona. NPI 1417107822 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · MESA, AZ
Registration Details
- NPI Number
- 1417107822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2008 (17.887780660888 yrs)
- Last Updated
- Mar 1, 2023
- Licenses
-
4295 (AZ)4295 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2550 N THUNDERBIRD CIR STE 303MESA, AZ, 852151219Browse AZ providers · Browse ZIP 85215
- Phone
- 4809248382
- Fax
- 4809248399
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. NICK STAVRIDIS | DO | 1114908696 |
| TANYA M KNE | MD | 1316922370 |
| MARK V RIPPERDA | MD | 1306821368 |
| LAURA ROBINSON | MD | 1124003181 |
| JAMIE V ROPACKI | MD | 1588649545 |
| CHARLES H PSHAENICH | MD | 1023093085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.