Individual
KATELYN DANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1517 POND RD, ALLENTOWN, PA 18104-2253
(610) 395-4444
Mailing address
2123 MILL VALLEY LN, QUAKERTOWN, PA 18951-2194
(267) 475-3879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OA005169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA005169
LICENSE NUMBER
PA
Enumeration date
01/16/2020
Last updated
01/18/2023
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