Kellie A Dudy PA-C

NPI 1740419621 - Physician Assistant - 363A00000X

NPI Details
NPI 1740419621
Gender Female
Enumeration Date 07/13/2009
Last Updated 11/22/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
7471 N FRESNO ST
FRESNO CA, 93720-2457, US
Phone (559) 436-4500
Fax (559) 261-1526
Business Location
7471 N FRESNO ST
FRESNO CA, 93720-2457, US
Phone (559) 436-4500
Fax (559) 261-1526
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA20407
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According to our database, Kellie A Dudy PA-C NPI is 1740419621, taxonomy code is 363A00000X and license number is PA20407, license state is located at California. Kellie A Dudy PA-C physically located at 7471 N Fresno St, Fresno CA, 93720-2457. NPI Number Kellie A Dudy PA-C has the Individual type.

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1740419621 NPI number is provided on an as is basis without warranty of any kind. 1740419621 is maintained by the National Plan & Provider Enumeration System. The contents of Kellie A Dudy PA-C are for informational purposes only.