Individual provider · Type 1 NPI
Kim Marie Latterner, PA-C
Medical Physician Assistant · Manchester, PA
NPI number
1356359889
Active
Practice location
115 Hickory Dr
Manchester, PA 17345-9502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | C0002815 (MD) |
| Medical Physician Assistant Primary | 363AM0700X | MA001899L (PA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Manchester
About NPI 1356359889
Kim Marie Latterner, PA-C's National Provider Identifier is 1356359889, issued on Aug 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manchester, PA. The record was last updated on Dec 19, 2011.