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Kaitlon Kay Busser

Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).

NPI number1982166039
StatusActive
Last updated in NPPESOct 10, 2019

Details

NPI
1982166039
Entity type
Individual (NPI-1)
Name
Kaitlon Kay Busser
Sex
Female
Sole proprietor
No
Enumeration date
Apr 5, 2019
Last updated
Oct 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant7658AZYes
390200000X Student in an Organized Health Care Education/Training Program–AZ

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone 602-933-3277 · Fax 602-933-4326

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327

Phone 602-933-1814

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