Individual provider · Type 1 NPI
Mary Kathleen Flanders, PA-C
Surgical Physician Assistant · Westfield, IN
NPI number
1194703546
Active
Practice location
1235 Viking Topaz Ct
Westfield, IN 46074-7622
Mailing address
59 Magazine St, #5
Cambridge, MA 02139-3942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | None listed |
| Surgical Physician Assistant | 363AS0400X | AP2121 (MA) |
| Surgical Physician Assistant Primary | 363AS0400X | 0110002066 (VA) |
Surgical Physician Assistant: Definition to come...
About NPI 1194703546
Mary Kathleen Flanders, PA-C's National Provider Identifier is 1194703546, issued on Jan 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Westfield, IN. The record was last updated on Aug 25, 2022.