Waterman, Kathryn M

Waterman, Kathryn M is an individual health care provider with primary practice located at 603 7Th St S Ste 500 , St Petersburg FL 33701-4734. 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 / Surgical is her primary health care specialty. Waterman, Kathryn M can be contacted via phone (727) 893-6254.

Contact Information

Primary practice address
603 7Th St S Ste 500 St Petersburg FL 33701-4734
Phone: (727) 893-6254
Fax: (727) 553-7158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 015249 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA113210 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9113210 Florida

Profile Details

NPI number 1518244326
LBN Legal business name Waterman, Kathryn M
Credentials RPA-C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2011
Last updated Apr 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518244326 NPPES
Florida MEDICAID 107387800

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