Individual provider · Type 1 NPI

Kelly Izsak, PAC

Medical Physician Assistant · Toledo, OH

NPI number 1275700635 Active

Practice location

3333 Glendale Ave
Toledo, OH 43614-2426

Call (419) 383-5555 Map

Fax (419) 383-3113

Mailing address

4510 Dorr St
Toledo, OH 43615-4040

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085002958 (IL)
Medical Physician Assistant 363AM0700X50.006113RX (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1275700635

Kelly Izsak, PAC's National Provider Identifier is 1275700635, issued on May 14, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Toledo, OH. The record was last updated on Dec 9, 2019.