Mattern, Katherine Lynn
Mattern, Katherine Lynn is an individual health care provider with primary practice located at 650 S Courtenay Pkwy Suite 200, Merritt Island FL 32952-4977. 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. Mattern, Katherine Lynn can be contacted via phone (321) 394-2660.Contact Information
Primary practice address
650 S Courtenay Pkwy Suite 200
Merritt Island FL 32952-4977
Phone: (321) 394-2660
Fax: (321) 394-2669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9106262 | Florida |
Profile Details
| NPI number | 1417148743 |
|---|---|
| LBN Legal business name | Mattern, Katherine Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Apr 29th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417148743 | NPPES |
| Florida | Other | NS448 | FL MEDICARE |
| Florida | Other | 202014 | FL MEDICARE |
| Florida | Other | 9772073 | FL MEDICARE |
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