Spousta, Kaitlyn Ann

Spousta, Kaitlyn Ann is an individual health care provider with primary practice located at 40601 N Gantzel Rd Ste 103 , San Tan Valley AZ 85140-7036. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Spousta, Kaitlyn Ann can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
40601 N Gantzel Rd Ste 103 San Tan Valley AZ 85140-7036
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA57137 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 7976 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7976 Arizona

Profile Details

NPI number 1457902694
LBN Legal business name Spousta, Kaitlyn Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2019
Last updated Apr 5th, 2023 - about last year

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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