Individual
KATHERINE MARIE HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
118 N 7TH AVE, SHELDON, IA 51201-1235
(712) 324-5041
Mailing address
111 E 10TH ST, DELL RAPIDS, SD 57022-1217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
107042
IA
363A00000X
Physician Assistant
Primary
1383
SD
Other
Enumeration date
01/19/2021
Last updated
11/18/2022
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