Czarnecki, Kelly Michele
Czarnecki, Kelly Michele is an individual health care provider with primary practice located at 1490 N Turquoise Dr , Flagstaff AZ 86001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Czarnecki, Kelly Michele can be contacted via phone (928) 774-5074.Contact Information
Primary practice address
1490 N Turquoise Dr
Flagstaff AZ 86001
Phone: (928) 774-5074
Fax: (928) 774-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1043234610 |
|---|---|
| LBN Legal business name | Czarnecki, Kelly Michele |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043234610 | NPPES |
| Arizona | MEDICAID | 56246 |
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