Individual
MS. KAITLYN ANN SPOUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3570 S VAL VISTA DR STE 104, GILBERT, AZ 85297-7327
(480) 900-9343
(480) 400-9229
Mailing address
3570 S VAL VISTA DR STE 104, GILBERT, AZ 85297-7327
(480) 900-9343
(480) 400-9229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7976
AZ
363A00000X
Physician Assistant
PA57137
CA
363AS0400X
Surgical Physician Assistant
7976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079624
—
AZ
Enumeration date
09/27/2019
Last updated
07/22/2026
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