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

Kimberly Thanh Pham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396374260

Kimberly Thanh Pham is a Student in an Organized Health Care Education/Training Program in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
Specialties on file
2

Practice location Address checks out

9059 W Lake Pleasant Pkwy Ste E540
Peoria, AZ 85382-8396
Phone: (623) 322-3380
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 69648 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396374260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address1919 E Thomas Rd, Phoenix, AZ 85016-7710

Other providers in Peoria