Most Relevant Information
Provider Data
| NPI Number: | 1003362989 |
| Provider Name: | KATIE L TICHENOR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 3641 |
Most Important Dates
| Enumeration Date: | 08/30/2016 |
| Last Updated: | 08/30/2016 |
Provider Practice Location
780 LITCHFIELD ST
TORRINGTON
CT
06790
Practice Location Phone/Fax
| Phone: | 8604828578 |
| Fax: |
Provider Mailing Location
780 LITCHFIELD ST
TORRINGTON
CT
06790
Provider Mailing Phone/Fax
| Phone: | 8604828578 |
| Fax: |