Most Relevant Information
Provider Data
| NPI Number: | 1003463902 |
| Provider Name: | KATELYN HAMMRICH PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/25/2019 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
427 12TH ST
PLUMMER
ID
838514000
Practice Location Phone/Fax
| Phone: | 2086861931 |
| Fax: | 2086865133 |
Provider Mailing Location
427 12TH ST
PLUMMER
ID
838514000
Provider Mailing Phone/Fax
| Phone: | 2086861931 |
| Fax: | 2086865133 |