Individual
KAIA KORDOSKY-HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(602) 290-4504
(928) 639-6059
Mailing address
6362 W BEHREND DR, GLENDALE, AZ 85308-7012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4294
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083720
NCCPA ID
—
Enumeration date
10/13/2008
Last updated
10/13/2008
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