Individual
MS. KATHERINE SALVADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33 PRATT ST, GLASTONBURY, CT 06033-1014
(860) 946-0447
(860) 430-6861
Mailing address
32 FAIRFAX AVE, WEST HARTFORD, CT 06119-2003
(617) 750-4808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3995
CT
363AM0700X
Medical Physician Assistant
PA5048
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3995
LICENSE
CT
01
—
PA5048
LICENSE
MA
Enumeration date
07/25/2014
Last updated
01/05/2023
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