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Individual
KATELIN MARIE SIMMERS
Active
Individual
KATELIN MARIE SIMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA064876
PA
363A00000X
Physician Assistant
Primary
035101
NY
Other
Enumeration date
10/13/2023
Last updated
03/24/2026
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