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

Dr. Kenneth James Busch, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1063404200

Dr. Kenneth James Busch, MD is an Obstetrics & Gynecology Physician in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2119 E Southern Ave
Tempe, AZ 85282-7503
Phone: (480) 831-1844
Fax: (480) 383-2685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 8573 (AZ)

Record details

NPI number1063404200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 15, 2005
Last updated in NPPESDecember 13, 2012
Mailing address2119 E Southern Ave, Tempe, AZ 85282-7503

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