Abraham, Mary Kathryn

Abraham, Mary Kathryn is an individual health care provider with primary practice located at 715 S 9Th St , Canon City CO 81212-4911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Abraham, Mary Kathryn can be contacted via phone (719) 269-8820.

Contact Information

Primary practice address
715 S 9Th St Canon City CO 81212-4911
Phone: (719) 269-8820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0005758 Colorado

Profile Details

NPI number 1225696800
LBN Legal business name Abraham, Mary Kathryn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2019
Last updated May 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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