Most Relevant Information
Provider Data
| NPI Number: | 1003251463 |
| Provider Name: | JEREMY HARRIS KAPLAN M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | 58879 |
Most Important Dates
| Enumeration Date: | 04/30/2013 |
| Last Updated: | 07/26/2019 |
Provider Practice Location
1739 E BEVERLY AVE STE 101
KINGMAN
AZ
864093593
Practice Location Phone/Fax
| Phone: | 9286818715 |
| Fax: |
Provider Mailing Location
3269 N STOCKTON HILL RD
KINGMAN
AZ
864093619
Provider Mailing Phone/Fax
| Phone: | 9282634722 |
| Fax: | 9282634794 |
Suggested EMR
Gastroenterology EMR