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Individual

KAITLYN ALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-1696
Mailing address
1 KINDT RD, DANVILLE, PA 17821-9508

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/06/2012
Last updated
04/26/2018
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