Individual
MRS. KATHRYN ANN WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3527 S FEDERAL WAY, SUITE 103-424, BOISE, ID 83705-5204
(208) 391-7280
(534) 202-4595
Mailing address
2008 WYNFIELD DR., PRATTVILLE, AL 36067-7157
(208) 391-7280
(534) 202-4595
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
PA1284
ID
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
PA1373
AL
363A00000X
Physician Assistant
Primary
PA1284
ID
363A00000X
Physician Assistant
PA1373
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-1284
IDAHO BOARD OF MEDICINE
ID
01
—
PA.1373
ALABAMA BOARD OF MEDICAL EXAMINERS
AL
Enumeration date
11/06/2007
Last updated
12/16/2021
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