License holder summary

Kiva Charaine Fallgatter PA is a Physician Assistant licensed to practice in Arizona. The address on file for Kiva Charaine Fallgatter PA is Pacific Crest Family Medicine, 311 S 72nd Ave, Yakima WA 98908. This licensed professional license is not current. The license was granted 09/05/2012.

Arizona

Board of Licensing

Kiva Charaine Fallgatter PA
Physician Assistant
License number
5216
Date granted
09/05/2012
Class
Physician Assistant
Status
Expired
Address
Pacific Crest Family Medicine, 311 S 72nd Ave, Yakima WA 98908
arizonalicensing.com
ID 22751920
LAST UPDATED 2024-03-06 16:44:41 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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