MRS. Kasidy Gail Depew, PA-C

NPI #1053775395 in Eaton, Ohio

Provider Information

NPI Number: 1053775395
Entity Type: Individual
Name: MRS. Kasidy Gail Depew, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 13, 2016
Last Updated: Apr 13, 2016

Practice Location

Address: 450B WASHINGTON JACKSON RD
Address 2: SUITE 102
City: Eaton
State: Ohio
ZIP Code: 45320-7600
Phone: (937) 456-8360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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