Individual
KATHERINE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3876
Mailing address
85 STONE RIDGE LN, MIDDLETOWN, OH 45044-3247
(919) 868-1631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007621RX
OH
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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