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Individual
KATHRYN TIANO
Active
Individual
KATHRYN TIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05262
NC
363A00000X
Physician Assistant
Primary
51879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215338611
—
NC
05
—
2051PA
—
SC
Enumeration date
09/04/2014
Last updated
03/15/2019
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