MEDICARE: KATHERINE MEYERHANS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MED-PAC-LIC-58165	MT

General Provider Information

NPI Number	:	1245757038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MEYERHANS PA-C

Provider Business Mailing Address
First Line	:	1288 N 14TH AVE STE 201
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-8535
Country	:	US
Telephone Number	:	406-587-0681
Fax Number	:	406-587-9011

Provider Business Practice Location Address
First Line	:	1288 N 14TH AVE STE 201
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-8535
Country	:	US
Telephone Number	:	406-587-0681
Fax Number	:	406-587-9011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	03/03/2026

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