Individual
KATEY LYNN CRESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9815 MAIN STREET, SUITE 208, DAMASCUS, MD 20872-2002
(301) 253-4004
(301) 253-3391
Mailing address
9815 MAIN STREET, SUITE 208, DAMASCUS, MD 20872-2002
(301) 253-4004
(301) 253-3391
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002356
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0002356
STATE LICENSE
MD
Enumeration date
07/29/2005
Last updated
09/09/2015
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