Individual provider · NPI-1

Katharine Ambrosetti, P.A.-C.

Physician Assistant · Birmingham, AL

NPI number1306207584
StatusActive
Last updated in NPPESMar 15, 2016

Details

NPI
1306207584
Entity type
Individual (NPI-1)
Name
Katharine Ambrosetti
Credential
P.A.-C.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2016
Last updated
Mar 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

619 19th St S
Birmingham, AL 35249-1900

Phone 205-934-4011

Mailing address

Po Box 55310
Birmingham, AL 35255-5310

Phone 205-934-4011

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