person
Kelly Muriel Hogan, PA-C
Medical Physician Assistant in Mesa, Arizona
NPI 1861123564

Kelly Muriel Hogan is a Medical Physician Assistant based in Mesa, AZ and is specialized in Medical. Kelly Muriel Hogan practices in Mesa, AZ and has the professional credentials of PA-C. The NPI Number for Kelly Muriel Hogan is 1861123564 and holds a License No. 7047150001 (Arizona).

The current practice location address for Kelly Muriel Hogan is 3130 E Baseline Rd Ste 107, Mesa, AZ and can be reached out via phone at 480-345-1980 and via fax at 480-926-1721.

Location: 3130 E Baseline Rd Ste 107, Mesa, AZ, 85210-3028
person
Provider Profile Details
NPI Number
1861123564
Provider Name
Kelly Muriel Hogan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3130 E Baseline Rd Ste 107, Mesa, AZ, 85210-3028
Phone Number
480-345-1980
Fax Number
480-926-1721
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3130 E Baseline Rd Ste 107
City
State
Zip
85204-7290
Phone Number
480-345-1980
Fax Number
480-926-1721
person
Provider Business Mailing Address Details
Address
3130 E Baseline Rd Ste 107
City
State
Zip
85204-7290
Phone Number
480-345-1980
Fax Number
480-926-1721
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
7939960001 (Arizona)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
7047150001 (Arizona)
Definition
Definition to come...
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