Provider Demographics
NPI:1366807273
Name:INFUSION CONSULTANTS LLC
Entity type:Organization
Organization Name:INFUSION CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COBY
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:KEMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-377-8284
Mailing Address - Street 1:15067 W WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-8958
Mailing Address - Country:US
Mailing Address - Phone:623-377-8284
Mailing Address - Fax:
Practice Address - Street 1:15067 W WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-8958
Practice Address - Country:US
Practice Address - Phone:623-377-8284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN115086163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty