Katelyn Black
NPI #1104298306 in Everett, Pennsylvania
Provider Information
- NPI Number
- 1104298306
- Entity Type
- Individual
- Name
- Katelyn Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 27, 2015
- Last Updated
- Mar 25, 2021
Practice Location
- Address
- 10455 LINCOLN HWY
- City
- Everett
- State
- Pennsylvania
- ZIP Code
- 15537-7046
- Phone
- (814) 623-6161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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