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Individual

H JEFFREY KATCHEN

Active
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Individual

H JEFFREY KATCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0266
NH
363AM0700X
Medical Physician Assistant
Primary
055-0030283
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2001000
VT
05
30010566
NH
05
9000370
VT
Enumeration date
09/20/2005
Last updated
04/30/2012
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