person
Mark Otis Catron, PAC
Medical Physician Assistant in Berea, Kentucky
NPI 1811933989

Mark Otis Catron is a Medical Physician Assistant based in Berea, KY and is specialized in Medical. Mark Otis Catron practices in Berea, KY and has the professional credentials of PAC. The NPI Number for Mark Otis Catron is 1811933989 and holds a License No. PA144 (Kentucky).

The current practice location address for Mark Otis Catron is 133 Plaza Dr Ste 3, Berea, KY and can be reached out via phone at 859-986-1370 and via fax at 859-986-1374.

Location: 133 Plaza Dr Ste 3, Berea, KY, 40403-2087
person
Provider Profile Details
NPI Number
1811933989
Provider Name
Mark Otis Catron
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
133 Plaza Dr Ste 3, Berea, KY, 40403-2087
Phone Number
859-986-1370
Fax Number
859-986-1374
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95002697 05 KY
970026471 01 KY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
133 Plaza Dr Ste 3
City
State
Zip
40403-2087
Phone Number
859-986-1370
Fax Number
859-986-1374
person
Provider Business Mailing Address Details
Address
133 Plaza Dr Ste 3
City
State
Zip
40403-2087
Phone Number
859-986-1370
Fax Number
859-986-1374
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA144 (Kentucky)
Definition
Definition to come...
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