Individual
KATHRYN MEAGAN SEILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
750 E THUNDERBIRD RD # 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
(602) 218-6383
Mailing address
750 E THUNDERBIRD RD STE 1, PHOENIX, AZ 85022-5306
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
363AM0700X
Medical Physician Assistant
—
AZ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
PA-8696
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100465
—
AZ
Enumeration date
05/06/2020
Last updated
09/27/2023
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