Individual
KATHERINE ELIZABETH ECHEVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
378 MARKETPLACE DR STE 5, JOHNSON CITY, TN 37604-2361
(423) 282-0751
(423) 282-1577
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
(239) 522-1754
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005351
VA
363A00000X
Physician Assistant
Primary
3480
TN
363A00000X
Physician Assistant
PA17844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17844
PA STATE LICENSE
CA
Enumeration date
08/29/2006
Last updated
10/18/2024
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