Provider Demographics
NPI:1932932183
Name:MASON, KATIE LEIGH (PA)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LEIGH
Last Name:MASON
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2801 EXCHANGE CT
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-4019
Mailing Address - Country:US
Mailing Address - Phone:561-684-9566
Mailing Address - Fax:561-687-3528
Practice Address - Street 1:1309 N FLAGLER DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3406
Practice Address - Country:US
Practice Address - Phone:561-684-9566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical