KSP HEALTH - ARIZONA LLC
NPI 1104607142
Pediatrics in Oro Valley, AZ

Q: What is Ksp Health - Arizona LLC's NPI number?

The NPI number for Ksp Health - Arizona LLC is 1104607142. It was assigned to this organization in the NPPES registry on October 6, 2023.

Q: What is Ksp Health - Arizona LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 06, 2023

1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755(234) 260-6212 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2024, Oct 6, 2023 (2 updates tracked since 2023).

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About Ksp Health - Arizona Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSP HEALTH - ARIZONA LLC (NPI 1104607142) is a healthcare organization registered as a pediatrics in Oro Valley, Arizona and active in the NPI registry since October 2023. The organization lists Muthukumar Vellaichamy, Owner, as its authorized official.

NPPES Registry Identity

NPI1104607142

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameKSP HEALTH - ARIZONA LLC

Location Address1846 E INNOVATION PARK DR STE 100Oro Valley, AZ 85755-1963

Mailing Address6446 E Central Ave Ste 183Wichita, KS 67206-1923 · (234) 260-6212

Phone(234) 260-6212

Organization SubpartNo

Authorized OfficialMuthukumar VellaichamyOwner · (234) 260-6212

Enumeration DateOctober 6, 2023

Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration

NPPES CertifiedOctober 6, 2023

✔ NPI 1104607142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X

Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X

Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X

Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X

Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X

Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X

Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X

1846 E INNOVATION PARK DR STE 100, Oro Valley, AZ 85755

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Other Names 1

Doing Business AsKsp Health - Arizona Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODI JACOBSEN

Developmental Therapist