Individual
MS. KATHRYN A MINOR
Active
Individual
MS. KATHRYN A MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06362
TX
363AS0400X
Surgical Physician Assistant
PA12217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345574302
—
TX
05
—
345574303
—
TX
01
—
P01932457
RAILROAD
TX
05
—
PA12217
—
CA
Enumeration date
10/27/2006
Last updated
08/25/2021
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