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Individual

KATRINA LYNN HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
110 IRVING ST NW STE NA1177, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
2315 LINCOLN RD NE APT 309, WASHINGTON, DC 20002-1131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001495
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA200001495
DC LICENSE
DC
Enumeration date
09/06/2022
Last updated
03/22/2023
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