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NPI Code Detail

MEDICARE: KATHARINE HILDER PA

MEDICARE:   KATHARINE  HILDER  PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1528890506
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE HILDER PA
Provider Business Mailing Address
First Line : 6671 RIPARIAN RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33462-3649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6671 RIPARIAN RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33462-3649
Country : US
Telephone Number : 757-525-0103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2024
Last Update Date : 08/17/2024

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Directions to “ KATHARINE HILDER PA” Practice Location

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