Provider Demographics
NPI:1669132569
Name:MARSEY, KAZZ MICHAEL (PA)
Entity type:Individual
Prefix:MR
First Name:KAZZ
Middle Name:MICHAEL
Last Name:MARSEY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:116 HOUGH RD
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-3306
Mailing Address - Country:US
Mailing Address - Phone:816-585-3477
Mailing Address - Fax:
Practice Address - Street 1:116 HOUGH RD
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-3306
Practice Address - Country:US
Practice Address - Phone:816-585-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant