Individual
KATELYN FROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(717) 885-7706
Mailing address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(717) 885-7706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/08/2023
Last updated
07/29/2024
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