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

Alexandre Grebenchtchikov

Individual provider Family Medicine Physician · NPI 1053206797

Alexandre Grebenchtchikov is a Family Medicine Physician in Kingman, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (716) 560-1845
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R4611 (AZ)

Record details

NPI number1053206797
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address7802 E Sabino Hollow Ct, Tucson, AZ 85750-7223

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