Individual
MS. KODEE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18275 N 59TH AVE STE 138, GLENDALE, AZ 85308-1253
(602) 564-0078
(602) 564-1154
Mailing address
18275 N 59TH AVE STE 138, GLENDALE, AZ 85308-1253
(602) 564-0078
(602) 564-1154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11284
AZ
Other
Enumeration date
12/06/2024
Last updated
11/12/2025
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