Katherine Ann Mattingly in Dayton - Physician Assistant
Katherine Ann Mattingly - NPI 1699774174
Katherine Ann Mattingly is a Physician Assistant in Dayton, Ohio. Katherine Ann Mattingly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katherine Ann Mattingly is 1699774174. The last update date is 2014-01-28.
Katherine Ann Mattingly's current location address is 122 Wyoming St, Dayton, Ohio. You can contact this provider via phone number 9372234461 and fax number 9372241945. The mailing address for Katherine Ann Mattingly is 122 Wyoming St, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Ann Mattingly |
|---|---|
| Address | 122 Wyoming St, Dayton, Ohio |
| Phone Number | 9372234461 |
| Fax Number | 9372241945 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1699774174 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2014-01-28 |
Provider Mailing Address Detail
| Address | 122 Wyoming St |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454092731 |
| Phone Number | 9372234461 |
| Fax Number | 9372241945 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50002181 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67797 | OH | -- |
Post Comment/ Review Below
What is the Katherine Ann Mattingly's 1699774174?
The Katherine Ann Mattingly's NPI (National Provider Identifier) Number is 1699774174. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Katherine Ann Mattingly located?
The Katherine Ann Mattingly is located at 122 Wyoming St, Dayton, OH 454092731.
Could you please provide the complete physical location address of Katherine Ann Mattingly?
The Katherine Ann Mattingly is physically situated at 122 Wyoming St, in the city of Dayton, state of OH, with the postal code 454092731.
On what date did the Centers for Medicare & Medicaid Services issue the 1699774174 to Katherine Ann Mattingly?
The Katherine Ann Mattingly received its 1699774174 assignment from the Centers for Medicare & Medicaid Services on 2005-07-18.
When was the Katherine Ann Mattingly's information last updated?
The Katherine Ann Mattingly's information was last updated on 2014-01-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY