Individual
KATLYN MARIE LYTLE RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
648 N MAIN ST, TAYLOR, PA 18517-1112
(570) 384-1101
Mailing address
131 GAYLORD AVE, PLYMOUTH, PA 18651-2221
(570) 495-3299
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056824
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07296468
—
NY
Enumeration date
07/02/2014
Last updated
02/04/2026
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