Katrina Sue Barger, PA-C
Physician Assistant, Medical in Zion, IL. Individual provider (NPI-1).
NPI number1861850331
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1861850331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Katrina Sue Barger
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2016
- Certification date
- Jan 4, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 085.005619 | IL | Yes |
Other names
- Katrina Sue Edwards (Former Name)
Practice location
2520 Elisha AveZion, IL 60099-2676
Phone 847-872-6367
Mailing address
2520 Elisha AveZion, IL 60099
Phone 847-872-4561
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