Individual
MS. KATRINA MARGARET KEITHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9650 GROSS POINT RD STE 1900, SKOKIE, IL 60076-5006
(847) 676-1112
(847) 674-3358
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006211
IL
363A00000X
Physician Assistant
5601007532
MI
Other
Enumeration date
09/18/2015
Last updated
03/07/2025
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