Graduated: 2002
Offers telehealth
NPI: 1396934964
Practice Locations (2)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 214
KINGMAN, AZ 864093593
9286818734
804 HEAVENS DR, SUITE 200
MANDEVILLE, LA 704712866
9853344210
Source: CMS National Downloadable File, September 2026.