Healthcare Provider Details

I. General information

NPI: 1619701703
Provider Name (Legal Business Name): KATELYN MAY ERKELENZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 N INDIAN CANYON DR
PALM SPRINGS CA
92262-4875
US

IV. Provider business mailing address

18092 WIKA RD STE 220
APPLE VALLEY CA
92307-2132
US

V. Phone/Fax

Practice location:
  • Phone: 760-610-8650
  • Fax:
Mailing address:
  • Phone: 760-515-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number64984
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: