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Individual
KATELYN MCKILLOP
Active
Individual
KATELYN MCKILLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034634
NY
363A00000X
Physician Assistant
0A005296
PA
363A00000X
Physician Assistant
MA061676
PA
363AM0700X
Medical Physician Assistant
MA061676
PA
Other
Enumeration date
07/24/2020
Last updated
02/05/2026
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