Individual
MRS. KATTIE JANE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
339 W SPRING ST, TITUSVILLE, PA 16354-1655
(814) 827-9675
(814) 827-4750
Mailing address
406 W OAK ST, TITUSVILLE, PA 16354-1499
(814) 827-9675
(814) 827-4750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016356
NY
363A00000X
Physician Assistant
Primary
MA055114
PA
363A00000X
Physician Assistant
OA002725
PA
Other
Enumeration date
11/29/2011
Last updated
09/17/2020
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