Kathrine Ann King, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051295 Issued in PA

Practice address

1070 N 9TH St
Stroudsburg, PA 18360-1210

Phone

(570) 517-5048

Fax

(570) 517-0974

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1578545497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 EATON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182005",
            "telephone_number": "610-570-4172",
            "fax_number": "570-517-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601210",
            "telephone_number": "570-517-5048",
            "fax_number": "570-517-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KATHRINE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009813",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051295",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02566163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desirae Ann Kenosky, CRNP
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• Katelyn Kinczel
• Yelena Kipervas, MD
• Thomas P Kislan, O.D.
• Kleinsorge Family Eyecare Inc
• Nanci Kline, RPH
• Carolyn Marie Kloiber, OTR

• Physician Assistant in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.