Mack, Katherine

Mack, Katherine is an individual health care provider with primary practice located at 480 Central Ave , Pearl Harbor HI 96860-4908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mack, Katherine can be contacted via phone (808) 257-1571.

Contact Information

Primary practice address
480 Central Ave Pearl Harbor HI 96860-4908
Phone: (808) 257-1571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12482391-1206 Utah

Profile Details

NPI number 1598423923
LBN Legal business name Mack, Katherine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2021
Last updated Aug 17th, 2023 - about 3 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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