Individual
KATELYN CHOBANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8105 ADAMS DR STE A, HUMMELSTOWN, PA 17036-8625
(717) 918-9489
Mailing address
110 LACKAWANNA DR, LEBANON, PA 17042-9034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064451
PA
Other
Enumeration date
04/06/2023
Last updated
12/19/2024
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