Individual provider · Type 1 NPI

Katherine Anne Gillis, PA-C

Surgical Physician Assistant · Raleigh, NC

NPI number 1235146960 Active

Practice location

3480 Wake Forest Rd, Suite 512
Raleigh, NC 27609-7300

Fax (919) 862-5975

Mailing address

508 Loblolly Dr
Durham, NC 27712-8723

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X104096 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1235146960

Katherine Anne Gillis, PA-C's National Provider Identifier is 1235146960, issued on Aug 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Oct 9, 2007.