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

Kenyon Christopher Carlson

Individual provider School Registered Nurse · NPI 1629684741

Kenyon Christopher Carlson is a School Registered Nurse in Laveen, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

3921 W Baseline Rd
Laveen, AZ 85339-1801
Phone: (605) 764-4036
Show map & directions

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

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence RN232862 (AZ)

Record details

NPI number1629684741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing address14300 W Bell Rd Unit 429, Surprise, AZ 85374-9735

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