Herzog, Kathleen

Herzog, Kathleen is an individual health care provider with primary practice located at 1338 Commerce Ave Ste 106 , Longview WA 98632-3732. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Herzog, Kathleen can be contacted via phone (971) 915-8587.

Contact Information

Primary practice address
1338 Commerce Ave Ste 106 Longview WA 98632-3732
Phone: (971) 915-8587
Fax: (503) 362-8435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61098708 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 7266 Arizona

Profile Details

NPI number 1881169365
LBN Legal business name Herzog, Kathleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2018
Last updated Oct 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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