Individual
KATELYN ANNE VIRNELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36457 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7343
(480) 214-9000
Mailing address
2051 W CHANDLER BLVD STE 5, CHANDLER, AZ 85224-6239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
01/06/2023
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