Individual
KATIE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMS, PA-C, MHS PA
Contact information
Practice address
1694 ROUTE 9, CLIFTON PARK, NY 12065
(518) 930-7486
Mailing address
324 CRESTVIEW RD, KNOXVILLE, TN 37934-3913
(407) 353-8865
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1953
TN
Other
Enumeration date
03/28/2011
Last updated
04/04/2024
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