Individual
KATHRYN ELISE EARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055530
PA
363AM0700X
Medical Physician Assistant
Primary
MA055530
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03488906
—
NY
Enumeration date
07/11/2012
Last updated
03/05/2021
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