Individual provider · Type 1 NPI

Katina Eley-Hardy, PAC

Medical Physician Assistant · Ahoskie, NC

NPI number 1619087640 Active

Practice location

120 Health Center Dr
Ahoskie, NC 27910-8161

Fax (252) 332-1665

Mailing address

PO Box 669
Ahoskie, NC 27910-0669

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X102844 (NC)
Medical Physician Assistant Primary 363AM0700X102844 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1619087640

Katina Eley-Hardy, PAC's National Provider Identifier is 1619087640, issued on Aug 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ahoskie, NC. The record was last updated on Sep 23, 2016.