Provider Demographics
NPI:1033490891
Name:LENHART, KATIE R (PA)
Entity Type:Individual
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First Name:KATIE
Middle Name:R
Last Name:LENHART
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3815 E BELL RD STE 2200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2139
Mailing Address - Country:US
Mailing Address - Phone:602-633-3848
Mailing Address - Fax:602-633-3841
Practice Address - Street 1:1500 S WATSON RD STE C-104
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-8689
Practice Address - Country:US
Practice Address - Phone:623-251-7559
Practice Address - Fax:662-326-6401
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2021-06-25
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Provider Licenses
StateLicense IDTaxonomies
IA002204363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant