Kathy Shull PA-C

NPI 1114134129 - Physician Assistant - 363A00000X

NPI Details
NPI 1114134129
Gender Female
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1205 GRAMPIAN BLVD
SUITE 3
WILLIAMSPORT PA, 17701-1978, US
Phone (570) 326-4118
Fax (570) 326-5533
Business Location
1205 GRAMPIAN BLVD
SUITE 3
WILLIAMSPORT PA, 17701-1978, US
Phone (570) 326-4118
Fax (570) 326-5533
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number MA002448L
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According to our database, Mrs. Kathy Shull PA-C NPI is 1114134129, taxonomy code is 363A00000X and license number is MA002448L, license state is located at Pennsylvania. Kathy Shull PA-C physically located at 1205 Grampian Blvd, Williamsport PA, 17701-1978. NPI Number Kathy Shull PA-C has the Individual type.

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1114134129 NPI number is provided on an as is basis without warranty of any kind. 1114134129 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Shull PA-C are for informational purposes only.