Individual
KATIE HEWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E APPLE ST STE 5253, DAYTON, OH 45409-2939
(937) 208-2552
Mailing address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.05642RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.005642RX
LICENSE
OH
Enumeration date
09/17/2018
Last updated
04/06/2022
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