Individual
KATHERINE LYNN PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 301, DAYTONA BEACH, FL 32117-5157
(386) 231-4450
(386) 231-4459
Mailing address
770 W GRANADA BLVD, ORMOND BEACH, FL 32174-5188
(386) 231-4519
(386) 368-8927
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
4461
SC
363AS0400X
Surgical Physician Assistant
Primary
9118332
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
04/02/2026
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