MEDICARE: MRS. KATHERINE I BROWN PAC

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	MA002617L	PA

General Provider Information

NPI Number	:	1972503936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE I BROWN PAC

Provider Business Mailing Address
First Line	:	623 E BROAD ST FL 2
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-6332
Country	:	US
Telephone Number	:	610-965-6048
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 LEHIGH ST STE 102
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-7001
Country	:	US
Telephone Number	:	484-822-5900
Fax Number	:	484-822-5965

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	05/27/2026

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