Individual provider · Type 1 NPI

Bethany Kate Heaton, PA-C

Medical Physician Assistant · Randallstown, MD

NPI number 1104228568 Active

Practice location

5401 Old Court Rd
Randallstown, MD 21133-5103

Call (410) 521-2200 Map

Mailing address

4380 Doncaster Dr
Ellicott City, MD 21043-6782

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC05554 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1104228568

Bethany Kate Heaton, PA-C's National Provider Identifier is 1104228568, issued on Sep 17, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Randallstown, MD. The record was last updated on Apr 16, 2018.