Casey, Kathleen

Casey, Kathleen is an individual health care provider with primary practice located at 625 N Plaza Dr , Apache Junction AZ 85120-5501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Casey, Kathleen can be contacted via phone (480) 983-0065.

Contact Information

Primary practice address
625 N Plaza Dr Apache Junction AZ 85120-5501
Phone: (480) 983-0065
Fax: (480) 671-4541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0380755-35 Arizona

Profile Details

NPI number 1457385502
LBN Legal business name Casey, Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 27th, 2011 - about 15 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 1457385502 NPPES
Arizona MEDICAID 477267

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