Individual
KATELYN JANE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2021 WALES AVE NW, MASSILLON, OH 44646-2393
(330) 834-3149
Mailing address
2755 UNION AVE NE, MINERVA, OH 44657-9126
(574) 249-0150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006960RX
OH
363A00000X
Physician Assistant
—
IN
Other
Enumeration date
05/28/2020
Last updated
03/27/2023
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