Individual
MRS. KATHRYN MCINVALE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
655 SOUTH 7TH STREET BLDG 700/700A, 78 MDG OMRS/SGXO, ROBINS AFB, GA 31098-3109
(478) 222-7911
Mailing address
655 SOUTH 7TH STREET BLDG 700/700A, 78 MDG OMRS/SGXO, ROBINS AFB, GA 31098
(478) 222-7911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6875
PHYSICIAN ASSISTANT
GA
Enumeration date
07/09/2013
Last updated
03/07/2023
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