Individual
KAITLYN PAIGE DONOUGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SUSAN DR, JOHNSTOWN, PA 15905-2826
(814) 255-1963
Mailing address
PO BOX 5657, JOHNSTOWN, PA 15904-5657
(814) 255-1963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062675
PA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/08/2021
Last updated
12/30/2022
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