Individual
MRS. KASIDY GAIL DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450B WASHINGTON JACKSON RD, SUITE 102, EATON, OH 45320-7600
(937) 456-8360
(866) 545-5451
Mailing address
450B WASHINGTON JACKSON RD, SUITE 102, EATON, OH 45320-7600
(937) 456-8360
(866) 545-5451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004438
OH
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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