Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Untied of Northern Arizona

Organization Pediatrics Physician · NPI 1487411641

Untied of Northern Arizona is a Pediatrics Physician in Prescott, Arizona. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone: (928) 257-1224
Fax: (928) 264-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1672 Oaklawn Dr, Prescott, AZ 86305-1106 — (928) 445-5339

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1487411641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Klein — Owner/ Primary Physician · (928) 257-1224
Other names Untied Of Northern Arizona; Untied Of Northern Arizona
NPI enumeratedMarch 4, 2024
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address7025 E Autumn Ln, Prescott Valley, AZ 86315-4807

Other providers in Prescott