Healthcare Provider Details

I. General information

NPI: 1407815301
Provider Name (Legal Business Name): KATHRYN J. HORUTZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 VIEWMONT DR
DICKSON CITY PA
18519-1664
US

IV. Provider business mailing address

920 VIEWMONT DR
DICKSON CITY PA
18519-1664
US

V. Phone/Fax

Practice location:
  • Phone: 570-346-1464
  • Fax: 570-558-9051
Mailing address:
  • Phone: 570-346-1464
  • Fax: 570-558-9051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA051605
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: