Individual
KATHERINE A KUDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7095 WESTBRANCH HWY STE 1100, LEWISBURG, PA 17837-6864
(570) 524-5050
(570) 524-5250
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057351
PA
363A00000X
Physician Assistant
Primary
OA003504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032097000001
—
PA
Enumeration date
01/22/2015
Last updated
01/22/2026
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