Individual provider · Type 1 NPI

Shannon Kuettel, PA-C

Medical Physician Assistant · Glendale, AZ

NPI number 1124544051 Active

Practice location

6320 W Union Hills Dr Ste A180
Glendale, AZ 85308-7153

Call (623) 748-8300 Map

Fax (623) 748-8314

Mailing address

4700 N 16th St Apt 235
Phoenix, AZ 85016-4662

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1124544051

Shannon Kuettel, PA-C's National Provider Identifier is 1124544051, issued on Aug 22, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glendale, AZ. The record was last updated on Aug 22, 2017.