Avina, Kathryn

Avina, Kathryn is an individual health care provider with primary practice located at 600 Grant St , Gary IN 46402-6001. 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. Avina, Kathryn can be contacted via phone (219) 886-4000.

Contact Information

Primary practice address
600 Grant St Gary IN 46402-6001
Phone: (219) 886-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001871A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006950 Illinois

Profile Details

NPI number 1578950424
LBN Legal business name Avina, Kathryn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2015
Last updated Jun 22nd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578950424 NPPES
Indiana MEDICAID 1578950424

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