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Individual
KATHARINE M MATTHIS
Active
Individual
KATHARINE M MATTHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
006534
NY
207Q00000X
Family Medicine Physician
006534-1
NY
363A00000X
Physician Assistant
Primary
006534
NY
363AM0700X
Medical Physician Assistant
006534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01895252
—
NY
Enumeration date
10/24/2006
Last updated
05/28/2025
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