Individual
MARK OTIS CATRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
133 PLAZA DR STE 3, BEREA, KY 40403-2087
(859) 986-1370
(859) 986-1374
Mailing address
133 PLAZA DR STE 3, BEREA, KY 40403-2087
(859) 986-1370
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002697
—
KY
01
—
970026471
RAILROAD MEDICARE
KY
Enumeration date
06/20/2006
Last updated
03/26/2014
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