Kallio, Amy
Kallio, Amy is an individual health care provider with primary practice located at 1050 Gail Gardner Way Suite 300, Prescott AZ 86305-1630. 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. Kallio, Amy can be contacted via phone (928) 717-5232.Contact Information
Primary practice address
1050 Gail Gardner Way Suite 300
Prescott AZ 86305-1630
Phone: (928) 717-5232
Fax: (928) 717-5238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6367 | Arizona |
Profile Details
| NPI number | 1235225954 |
|---|---|
| LBN Legal business name | Kallio, Amy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 5th, 2022 - about 3 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 | 1235225954 | NPPES |
| Arizona | MEDICAID | 171879 |
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