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Individual

KATHRYN G VASIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
515 BORGHESE DR BLDG 2072, ROBINS AFB, GA 31098-2700
(478) 201-4202
Mailing address
PO BOX 30101, GREENVILLE, NC 27833-0101
(202) 877-4848

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14874
NC
363A00000X
Physician Assistant
Primary
C0006258
MD
363A00000X
Physician Assistant
PA031213
DC

Other

Enumeration date
11/19/2015
Last updated
07/10/2026
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