# MRS. KATHY L HERSHBERGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255332680
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 15-00785 | KS | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 12/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 042745 | BC/BS | KS |
| 05 | — | 100401540A | — | KS |