Individual
MS. KATHLEEN MARIE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2450
(717) 851-3469
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2450
(717) 851-3469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055133
PA
363A00000X
Physician Assistant
OA002721
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600474
GATEWAY MEDICARE ASSURED
PA
01
—
2675538
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
09/07/2011
Last updated
02/11/2014
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