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Individual

KALEY B PUZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
500 ARCADE AVE STE 200, ELKHART, IN 46514-2485
(574) 294-8404
(574) 523-1642
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004160A
IN
363A00000X
Physician Assistant
5601012068
MI
363AS0400X
Surgical Physician Assistant
11953
GA
363AS0400X
Surgical Physician Assistant
9108931
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300086823
IN
Enumeration date
08/19/2015
Last updated
03/24/2025
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