Pontarelli, Kasey L

Pontarelli, Kasey L is an individual health care provider with primary practice located at 324 Roxbury Rd , Rockford IL 61107-5090. 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. Pontarelli, Kasey L can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
324 Roxbury Rd Rockford IL 61107-5090
Phone: (815) 398-9491
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.005706 Illinois

Profile Details

NPI number 1912379462
LBN Legal business name Pontarelli, Kasey L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2015
Last updated Aug 14th, 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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