Individual provider · Type 1 NPI

Katherine Fountain Niles, PA

Medical Physician Assistant · Washington, DC

NPI number 1972736908 Active

Practice location

US Dept Of State 2401 E St NW, M/med/qi, SA-1
Washington, DC 20522-0001

Call (202) 663-2453 Map

Fax (202) 663-3247

Mailing address

2401 E St NW, US Dept Of State M/med/qi, SA-1
Washington, DC 20522-0102

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601002401 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1972736908

Katherine Fountain Niles, PA's National Provider Identifier is 1972736908, issued on Aug 25, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Aug 25, 2009.