Mellen, Kassondra
Mellen, Kassondra is an individual health care provider with primary practice located at 1432 S Dobson Rd Ste 301 , Mesa AZ 85202-4773. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mellen, Kassondra can be contacted via phone (480) 464-9400.Contact Information
Primary practice address
1432 S Dobson Rd Ste 301
Mesa AZ 85202-4773
Phone: (480) 464-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3773 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3773 | Arizona |
Profile Details
| NPI number | 1245418839 |
|---|---|
| LBN Legal business name | Mellen, Kassondra |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2008 |
| Last updated | Jul 31st, 2023 - 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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