Individual
MS. KATHERINE FOUNTAIN NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
US DEPT OF STATE 2401 E ST NW, M/MED/QI, SA-1, WASHINGTON, DC 20522-0001
(202) 663-2453
(202) 663-3247
Mailing address
2401 E ST NW, US DEPT OF STATE M/MED/QI, SA-1, WASHINGTON, DC 20522-0102
(202) 663-2453
(202) 663-3247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002401
MI
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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