Kasey L Pontarelli, P.A.-C.

NPI #1912379462 in Rockford, Illinois

Provider Information

NPI Number: 1912379462
Entity Type: Individual
Name: Kasey L Pontarelli, P.A.-C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C.
Enumeration Date: Oct 23, 2015
Last Updated: Aug 14, 2023

Practice Location

Address: 324 ROXBURY RD
City: Rockford
State: Illinois
ZIP Code: 61107-5090
Phone: (815) 398-9491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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