Individual provider · Type 1 NPI

Katherine Lynn Pate, PA-C

Surgical Physician Assistant · Daytona Beach, FL

NPI number 1275161358 Active

Practice location

305 Memorial Medical Pkwy Ste 301
Daytona Beach, FL 32117-5157

Fax (386) 231-4459

Mailing address

770 W Granada Blvd
Ormond Beach, FL 32174-5188

Other practice locations

  • 5005 Port St John Pkwy Ste 2200, Port St. John, FL 32927-4305 · (321) 433-2247

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X9118332 (FL)
Surgical Physician Assistant 363AS0400X4461 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1275161358

Katherine Lynn Pate, PA-C's National Provider Identifier is 1275161358, issued on Apr 1, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Daytona Beach, FL. The record was last updated on Apr 2, 2026.