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Individual

MRS. KIMBERLY ANN BASILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13840 W CAMELBACK RD STE 10, LITCHFIELD PARK, AZ 85340-3084
(928) 323-8112
(928) 323-8113
Mailing address
13840 W CAMELBACK RD STE 10, LITCHFIELD PARK, AZ 85340-3084
(928) 323-8112
(928) 323-8113

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016077
NY

Other

Enumeration date
10/02/2012
Last updated
03/24/2020
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