DR. KENNY KHIEM-HUY MAI (NPI# 1760703623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760703623 |
| Entity Type | Individual |
| Full Name | DR. KENNY KHIEM-HUY MAI |
| Credential | D.O |
| Practice Address |
7700 E Florentine Rd Bldg B, Ste. 101 Prescott Valley AZ 86314-2245 |
| Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
| Practice Telephone | 9284428710 |
| Practice Fax Number | 9284428642 |
| Mailing Telephone | 9287595987 |
| Mailing Fax Number | 9284582039 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 006199 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | R1508 | AZ | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA NUMBER | FM3266269 | 01 |
| AZ | 830265 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962426064 | Kenny T. Mai | Orthopaedic Surgery | 870 W. Seventh Street, Hanford, CA 93230 | 2006-07-26 |
| Street Address |
7700 E FLORENTINE RD BLDG B, STE. 101 |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526222 | Michael G Macon | Surgery | 7700 E Florentine Rd, Bldg B, Ste 203, Prescott Valley, AZ 86314-2245 | 2005-05-23 |
| 1902206071 | Gerald Baldwin | Physician Assistant | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2014-08-26 |
| 1902235716 | Glenna Frances Montgomery | Registered Nurse | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2013-11-02 |
| 1316243447 | Megan Dawn Eppens | Nurse Practitioner | 7700 E Florentine Rd, Ste 101, Prescott Valley, AZ 86314-2245 | 2011-02-08 |
| 1033446893 | Nanci Margaret Fischer | Registered Nurse | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2009-11-14 |
| 1366691552 | Anil Kumar | Internal Medicine | 7700 E Florentine Rd, Bldg. B Ste. 206, Prescott Valley, AZ 86314-2245 | 2008-09-12 |
| 1356554539 | Suzette Fink Bryan | Emergency Medicine | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2007-05-07 |
| 1720147143 | Mitchell Paul Wright Jr. | Registered Nurse | 7700 E Florentine Rd, Yavapai Regional Medical Center, East Campus, Prescott Valley, AZ 86314-2245 | 2006-12-08 |
| 1386725208 | Klaus P Appel | Family Medicine | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2006-10-18 |
| 1871534487 | Yavapai Community Hospital Association | General Acute Care Hospital | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932572815 | Yavapai Regional Medical Center Physician Care, LLC | Internal Medicine | 3262 N Windsong Dr Ste 2a, Prescott Valley, AZ 86314-2255 | 2015-11-02 |
| 1861494247 | Rajiv Jetly | Internal Medicine | 3235 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2005-08-15 |
| 1942251996 | Kara E Johnson | Internal Medicine | 3200 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2006-05-15 |
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| 1376141598 | Bassi Clinic Pllc | Internal Medicine | 14175 W Indian School Rd Ste B4-139, Goodyear, AZ 85395-8407 | 2020-10-09 |
| 1841801735 | Usaholistics | Internal Medicine | 6614 E Aster Dr, Scottsdale, AZ 85254-4549 | 2020-08-13 |
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1396363594 | Cabaluna Medical Pllc | Internal Medicine | 2001 Excellence Way Ste 200, Prescott, AZ 86301-8410 | 2020-07-14 |
| 1285252510 | Sun City Internal Medicine Pllc | Internal Medicine | 10503 W Thunderbird Blvd Ste 108, Sun City, AZ 85351-3047 | 2020-07-13 |
| 1619598398 | Ur Doc, LLC | Internal Medicine | 1847 E. Southern Ave., #4, Tempe, AZ 85282-5881 | 2020-05-04 |
| 1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1326676800 | Arizona Physicians Group | Internal Medicine | 13771 N Fountain Hills Blvd # 114-146, Fountain Hills, AZ 85268-3762 | 2020-03-30 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
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| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.