person
Kerry D Malin, PA-C
Medical Physician Assistant in Mayer, Arizona
NPI 1548241128

Kerry D Malin is a Medical Physician Assistant based in Mayer, AZ and is specialized in Medical. Kerry D Malin practices in Mayer, AZ and has the professional credentials of PA-C. The NPI Number for Kerry D Malin is 1548241128 and holds a License No. 5167 (Arizona).

The current practice location address for Kerry D Malin is 17301 E Spring Valley Rd Ste F, Mayer, AZ and can be reached out via phone at 928-632-4909 and via fax at 928-441-2915.

Location: 17301 E Spring Valley Rd Ste F, Mayer, AZ, 86333-4263
person
Provider Profile Details
NPI Number
1548241128
Provider Name
Kerry D Malin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
17301 E Spring Valley Rd Ste F, Mayer, AZ, 86333-4263
Phone Number
928-632-4909
Fax Number
928-441-2915
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548241128 05 NV
P00942209 01 NV RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
17301 E Spring Valley Rd Ste F
City
State
Zip
86333-4263
Phone Number
928-632-4909
Fax Number
928-441-2915
person
Provider Business Mailing Address Details
Address
17301 E Spring Valley Rd Ste F
City
State
Zip
86333-4263
Phone Number
928-632-4909
Fax Number
928-441-2915
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5167 (Arizona)
Definition
Definition to come...
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