Individual
HALEY ELAINE KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. -C
Contact information
Practice address
20950 N TATUM BLVD STE 150, PHOENIX, AZ 85050
(480) 822-0225
Mailing address
4965 E PARADISE VILLAGE PKWYS, UNIT 1168, PHOENIX, AZ 85032
(913) 221-5615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6530
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/07/2016
Last updated
07/10/2019
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