Individual
KERRI ANNE KATONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3696 S STRAITS HWY, INDIAN RIVER, MI 49749-5136
(231) 238-0581
(231) 238-0586
Mailing address
850 N OTSEGO AVE, SUITE 1, GAYLORD, MI 49735-1568
(989) 731-7708
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF96004
MEDICARE GROUP PTAN
MI
Enumeration date
09/25/2009
Last updated
01/30/2015
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