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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235225954 NPPES
Arizona MEDICAID 171879

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