Individual
KATIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
828 W MAIN ST, MOUNT PLEASANT, PA 15666-1730
(724) 547-4441
Mailing address
828 W MAIN ST, MOUNT PLEASANT, PA 15666-1730
(724) 547-4441
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MA061181
PA
363A00000X
Physician Assistant
Primary
MA061181
PA
Other
Enumeration date
10/11/2019
Last updated
08/11/2021
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