Kordosky-Herrera, Kaia

Kordosky-Herrera, Kaia is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. 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. Kordosky-Herrera, Kaia can be contacted via phone (602) 290-4504.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Phone: (602) 290-4504
Fax: (928) 639-6059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4294 Arizona

Profile Details

NPI number 1326290057
LBN Legal business name Kordosky-Herrera, Kaia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated Oct 13th, 2008 - about 16 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 1326290057 NPPES
Other 1083720 NCCPA ID

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