| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1447479118 | KINGMAN PULMONARY ASSOCIATES, LLC | 1739 E BEVERLY AVE | KINGMAN | AZ | 864093593 | |||
| 1487807848 | BERGESON | ANNIKA | JEANETTE | 1739 E BEVERLY AVE | KINGMAN | AZ | 864093593 | |
| 1114345345 | CHARRAN | ORDESSIA | 1739 E BEVERLY AVE STE 203 | KINGMAN | AZ | 864093593 | ||
| 1225142557 | MATHENY | ROBERT | G | 1739 E BEVERLY AVE | KINGMAN | AZ | 864093593 |