Individual
KATELYNN AUSTIN KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2017026689
MO
363AS0400X
Surgical Physician Assistant
Primary
5636
SC
Other
Enumeration date
07/11/2017
Last updated
12/27/2024
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