Keithley, Katrina Margaret

Keithley, Katrina Margaret is an individual health care provider with primary practice located at 9669 Kenton Ave Ste 203 , Skokie IL 60076. 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. Keithley, Katrina Margaret can be contacted via phone (847) 679-6333.

Contact Information

Primary practice address
9669 Kenton Ave Ste 203 Skokie IL 60076
Phone: (847) 679-6333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006211 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007532 Michigan

Profile Details

NPI number 1578932620
LBN Legal business name Keithley, Katrina Margaret
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2015
Last updated Nov 26th, 2019 - about 6 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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