MEDICARE: KATHI NORMAN 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	PA9103873	FL
2	363A00000X	Physician Assistant	PA156252	OR

General Provider Information

NPI Number	:	1679681035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHI NORMAN PA-C

Provider Business Mailing Address
First Line	:	8106 SW 174TH TER
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-6893
Country	:	US
Telephone Number	:	503-386-9516
Fax Number	:	503-386-2831

Provider Business Practice Location Address
First Line	:	328 SUMMERWOOD DR
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32413-5721
Country	:	US
Telephone Number	:	850-381-4942
Fax Number	:

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

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	12/16/2025

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Directions to “ KATHI NORMAN PA-C” Practice Location

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