Individual
KURTIS A MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2226 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8374
(928) 681-8530
(928) 681-8531
Mailing address
2226 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8374
(928) 681-8530
(928) 681-8531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 16493
CA
363AM0700X
Medical Physician Assistant
Primary
4423
AZ
Other
Enumeration date
10/05/2005
Last updated
05/04/2016
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