Katherine I Carlson, PA-C
Physician Assistant in Loves Park, IL. Individual provider (NPI-1).
NPI number1306123757
StatusActive
Last updated in NPPESNov 11, 2013
Details
- NPI
- 1306123757
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Katherine I Carlson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2011
- Last updated
- Nov 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085-004178 | IL | Yes |
Other names
- Katherine I Steltenpohl (Former Name)
Practice location
9951 Rock Cut XingLoves Park, IL 61111-1999
Phone 815-639-8450 · Fax 815-639-8451
Mailing address
9951 Rock Cut XingLoves Park, IL 61111-1999
Phone 815-639-8450 · Fax 815-639-8451
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