Individual
MRS. KATHERINE ARMSTRONG SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12667 AMARILLO DR, LUSBY, MD 20657-3330
(757) 303-6551
Mailing address
12667 AMARILLO DR, LUSBY, MD 20657-3330
(757) 303-6551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000259500
—
FL
Enumeration date
07/17/2008
Last updated
10/17/2013
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