Individual
MRS. KATHLENE MARIE EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9415 MISSION BLVD, RIVERSIDE, CA 92509-2600
(951) 360-8795
(951) 360-8798
Mailing address
PO BOX 7849, RIVERSIDE, CA 92513-7849
(951) 358-5222
(951) 358-5235
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CA18713
CA
Other
Enumeration date
05/30/2007
Last updated
03/07/2023
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