Individual
MS. KATHERINE GALE ERVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1006
(660) 890-8422
Mailing address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1006
(660) 890-8422
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
114815
MO
Other
Enumeration date
05/10/2006
Last updated
03/24/2025
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