Doctor Name: | KATHRYN POE EGAN |
NPI Number: | 1063584472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | 3765P |
Business Practice Address: | 991 Medical Park Dr Ste 301 Maysville, KY - 410568764 |
Business Phone Number: | 6067594852 |
Business Fax Number: | 6067590122 |
Mailing Address: | 991 Medical Park Dr, Ste 301 MAYSVILLE |
State: | KY |
Postal Code: | 410568764 |
Phone Number: | 6067594852 |
Fax Number: | 6067590122 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3765P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |