Individual
KATEY ANN LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008791RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
50.008791RX
OH
Other
Enumeration date
06/20/2024
Last updated
05/20/2025
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