| NPI | 1063683241 |
|---|---|
| Former Name | KACEY SEBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 2218) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2025-06-10 |