Individual
H JEFFREY KATCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7220
(802) 674-7006
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7220
(802) 674-7006
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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