Individual
KATHRYN NICHOLE FOUNTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 CHEW ST, ALLENTOWN, PA 18102-3406
(866) 785-8537
Mailing address
384 DEVON DR, EXTON, PA 19341-1781
(484) 886-5033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA062937
PA
363AM0700X
Medical Physician Assistant
Primary
MA062937
PA
Other
Enumeration date
10/13/2021
Last updated
06/29/2025
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