Individual
KATELYN MARIE MILANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4515 COORS BLVD NW, ALBUQUERQUE, NM 87120-3699
(505) 596-2200
(505) 596-2280
Mailing address
1606 LEONA AVE, SOUTH PARK, PA 15129-9731
(412) 651-5399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2023
Last updated
10/11/2023
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