Mitchell, Kathryn Corgan

Mitchell, Kathryn Corgan is an individual health care provider with primary practice located at 1155 E Mountain Blvd , Wilkes Barre PA 18702-7906. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mitchell, Kathryn Corgan can be contacted via phone (570) 808-6113.

Contact Information

Primary practice address
1155 E Mountain Blvd Wilkes Barre PA 18702-7906
Phone: (570) 808-6113
Fax: (570) 808-6349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085006150 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3760-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA062485 Pennsylvania

Profile Details

NPI number 1922459650
LBN Legal business name Mitchell, Kathryn Corgan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated May 10th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922459650 NPPES
Wisconsin MEDICAID 1922459650

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