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Individual

MS. KAYA MALENE MACMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DHSC, MPAS, PA-C

Contact information

Practice address
1441 N 12TH ST, TRANSPLANT INSTITUTE 2ND FLOOR, PHOENIX, AZ 85006-2837
(602) 521-5800
(602) 521-5332
Mailing address
1441 N 12TH ST, TRANSPLANT INSTITUTE 2ND FLOOR, PHOENIX, AZ 85006-2837
(602) 521-5800
(602) 521-5332

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3572
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z142336
ARIZONA MEDICARE PART B
AZ
Enumeration date
05/05/2006
Last updated
11/30/2016
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