KIC SCOTTSDALE LLC
NPI 1821560558
Clinic/Center - Infusion Therapy in Scottsdale, AZ

Active since December 19, 2018
10555 N 114TH ST STE 105, SCOTTSDALE, AZ 85259(480) 634-6400(480) 404-9649 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2019, Dec 19, 2018 (2 updates tracked since 2018).

About Kic Scottsdale Llc NPPES

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

KIC SCOTTSDALE LLC (NPI 1821560558) is a healthcare organization registered as an infusion therapy in Scottsdale, Arizona and active in the NPI registry since December 2018. The organization lists Challen Waychoff, Coo/manager, as its authorized official.

NPPES Registry Identity

NPI1821560558
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameKIC SCOTTSDALE LLC
Location Address10555 N 114TH ST STE 105Scottsdale, AZ 85259-4940
Mailing Address3724 N 3rd St Ste 301Phoenix, AZ 85012-2035 · (480) 634-6400 · Fax (480) 404-9649
Fax(480) 404-9649
Organization SubpartNo
Authorized OfficialChallen WaychoffCoo/manager · (480) 634-6400
Enumeration DateDecember 19, 2018
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
NPI 1821560558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
10555 N 114TH ST STE 105, Scottsdale, AZ 85259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kic Scottsdale LLC's NPI number?

The NPI number for Kic Scottsdale LLC is 1821560558. It was assigned to this organization in the NPPES registry on December 19, 2018.

Where is Kic Scottsdale LLC located?

Kic Scottsdale LLC is located at 10555 N 114th St Ste 105, Scottsdale, AZ 85259. The listed phone number is (480) 634-6400.

What is Kic Scottsdale LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Kic Scottsdale LLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.