Katelyn Maben, PA-C

NPI #1447640123 in Aurora, Missouri

Provider Information

NPI Number: 1447640123
Entity Type: Individual
Name: Katelyn Maben, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 2, 2015
Last Updated: May 10, 2016

Practice Location

Address: 550 S HUDSON AVE
City: Aurora
State: Missouri
ZIP Code: 65605-2362
Phone: (417) 678-5176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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