Kristen A Kalkbrenner, P.A.-C.
Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1871576819
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1871576819
- Entity type
- Individual (NPI-1)
- Name
- Kristen A Kalkbrenner
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2005
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2724 | AZ | Yes |
Practice location
5779 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
Mailing address
5779 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
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