Individual
KATHERINE PREVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 ST. PAUL PLACE, ER DEPT., BALTIMORE, MD 21202-2102
(410) 332-9809
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004541
MD
Other
Enumeration date
09/07/2011
Last updated
12/18/2019
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