Individual
KATHERINE J EXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8161
(717) 531-7726
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0000865
MD
363A00000X
Physician Assistant
MA003370L
PA
363AM0700X
Medical Physician Assistant
Primary
MA003370L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1566798
GATEWAY-WMG
PA
01
—
1979488
HIGHMARK BLUE SHIELD
PA
01
—
50071496
CAPITAL BLUE CROSS-WMG
PA
05
—
782571400
—
MD
Enumeration date
12/14/2005
Last updated
07/07/2016
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