Individual
KATHERINE KOSHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 SUN TEMPLE DR, MADISON, AL 35758-5924
(256) 774-5524
(256) 774-5523
Mailing address
130 WELLINGTON DR, MADISON, AL 35758-8153
(662) 312-7422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1307
AL
363A00000X
Physician Assistant
5017
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412755469A
—
GA
Enumeration date
05/02/2007
Last updated
09/13/2023
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