Healthcare Provider Details

I. General information

NPI: 1316555196
Provider Name (Legal Business Name): KATRINA LOUISE MCALESTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 UNION DEPOSIT RD STE 120
HARRISBURG PA
17111-3774
US

IV. Provider business mailing address

7710 FARMDALE AVE
HARRISBURG PA
17112-3822
US

V. Phone/Fax

Practice location:
  • Phone: 717-540-1743
  • Fax: 717-901-3919
Mailing address:
  • Phone: 570-972-3096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA061693
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: