Healthcare Provider Details

I. General information

NPI: 1750538724
Provider Name (Legal Business Name): KATHLEEN ELLEN ZURICH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

IV. Provider business mailing address

123 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

V. Phone/Fax

Practice location:
  • Phone: 828-257-4730
  • Fax: 828-257-4738
Mailing address:
  • Phone: 828-257-4730
  • Fax: 828-257-4738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number100406
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: