Arizona
Board of Licensing
Kevin Michael Fordell PA
Physician Assistant
License number
4295
Date granted
10/03/2008
Class
Physician Assistant
Status
Active
Address
Emergency Professional Services, 1300 N. 12 Street, Suite 301, Phoenix AZ 85006
arizonalicensing.com
ID 22751502
LAST UPDATED 2024-03-12 13:06:35 UTC
LAST UPDATED 2024-03-12 13:06:35 UTC