Individual provider · Type 1 NPI

Kallie M. Bashor, PA-C

Medical Physician Assistant · Fountain Hill, PA

NPI number 1033525282 Active

Practice location

830 Ostrum St
Fountain Hill, PA 18015-1013

Mailing address

2033 W Highland St
Allentown, PA 18104-3741

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA057499 (PA)
Physician Assistant 363A00000X3351-23 (WI)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1033525282

Kallie M. Bashor, PA-C's National Provider Identifier is 1033525282, issued on Jul 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fountain Hill, PA. The record was last updated on Oct 9, 2015.