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Individual
KATE NEMECEK
Active
Individual
KATE NEMECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57391
CA
363AM0700X
Medical Physician Assistant
6458
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6458
LICENSE
AZ
Enumeration date
09/15/2016
Last updated
11/09/2021
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