Individual
KASEY HORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13188 N 103RD DR, #200, SUN CITY, AZ 85351-3064
(602) 406-7830
Mailing address
13188 N 103RD DR, #200, SUN CITY, AZ 85351-3064
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6557
AZ
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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