KATHRYN CHARLOTTE SUPPLEE PA-C NPI 1619526076

NPI Information

NPI: 1619526076
Provider Name: KATHRYN CHARLOTTE SUPPLEE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ANESTHESIA AND PAIN CONSULTANTS, PC

PECOS Registration: Yes

Address:
5515 UTICA RIDGE RD STE 600
DAVENPORT, IA
ZIP 52807
Phone: (563) 344-1050
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Kathryn Charlotte Supplee, PA-C is a medical physician assistant in Davenport, IA with 4 years of experience. Kathryn Charlotte Supplee, PA-C NPI is 1619526076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5515 UTICA RIDGE RD STE 600
DAVENPORT, IA
ZIP 52807-927
Phone: (563) 344-1050
Fax: (563) 424-4579

The NPI 1619526076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/9/2019 and was last updated on 5/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	107195	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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