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Individual
KASEY SWAFFORD-FORREST
Active
Individual
KASEY SWAFFORD-FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
559416
CA
363A00000X
Physician Assistant
Primary
11429
GA
363AM0700X
Medical Physician Assistant
PA18002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068754
NCCPA CERT #
CA
01
—
559415
RN LICENSE
CA
Enumeration date
11/22/2005
Last updated
10/24/2024
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