Individual provider · Type 1 NPI

Kayleigh Davis Defoore, PA

Medical Physician Assistant · Fairbanks, AK

NPI number 1528405602 Active

Practice location

1717 W Cowles St
Fairbanks, AK 99701-5926

Mailing address

PO Box 94429
Seattle, WA 98124-6729

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-04256 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1528405602

Kayleigh Davis Defoore, PA's National Provider Identifier is 1528405602, issued on May 29, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 15, 2021.