Most Relevant Information
Provider Data
| NPI Number: | 1003320631 |
| Provider Name: | KATHERINE KYLE WEALS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 50.005357RX |
Most Important Dates
| Enumeration Date: | 11/17/2017 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
460 W 10TH AVE FL 5
COLUMBUS
OH
432101240
Practice Location Phone/Fax
| Phone: | 6142938074 |
| Fax: | 6142933193 |
Provider Mailing Location
700 ACKERMAN RD STE 2120
COLUMBUS
OH
432021559
Provider Mailing Phone/Fax
| Phone: | 6142938074 |
| Fax: | 6142933193 |