Provider Demographics
NPI:1346599446
Name:COTNER, KALI (PA-C)
Entity Type:Individual
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First Name:KALI
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Last Name:COTNER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4515 S MCCLINTOCK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7376
Mailing Address - Country:US
Mailing Address - Phone:480-820-1133
Mailing Address - Fax:480-820-2175
Practice Address - Street 1:4515 S MCCLINTOCK DR
Practice Address - Street 2:STE 100
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7376
Practice Address - Country:US
Practice Address - Phone:480-820-1133
Practice Address - Fax:480-820-2175
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2022-12-20
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Provider Licenses
StateLicense IDTaxonomies
AZ5188363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical