MS. Katie L Tichenor, PA-C

NPI #1003362989 in Torrington, Connecticut

Provider Information

NPI Number: 1003362989
Entity Type: Individual
Name: MS. Katie L Tichenor, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 780 LITCHFIELD ST
City: Torrington
State: Connecticut
ZIP Code: 06790
Phone: (860) 482-8578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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