Individual
KALEIGH BAZANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-2000
Mailing address
414 BENSON AVE NE APT 1253, GRAND RAPIDS, MI 49503-0009
(715) 894-0875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010627
MI
Other
Enumeration date
11/10/2021
Last updated
12/31/2025
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