Kallie M Bashor, PA-C
NPI #1033525282 in Fountain Hill, Pennsylvania
Provider Information
- NPI Number
- 1033525282
- Entity Type
- Individual
- Name
- Kallie M Bashor, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 9, 2014
- Last Updated
- Oct 9, 2015
Practice Location
- Address
- 830 OSTRUM ST
- City
- Fountain Hill
- State
- Pennsylvania
- ZIP Code
- 18015-1013
- Phone
- (908) 859-6722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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