Provider Demographics
NPI:1093414484
Name:LOCHER, KATHERINE GRACE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:GRACE
Last Name:LOCHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 PLANTATION RIDGE DR STE 190
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9178
Mailing Address - Country:US
Mailing Address - Phone:704-658-0595
Mailing Address - Fax:
Practice Address - Street 1:149 PLANTATION RIDGE DR STE 190
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9178
Practice Address - Country:US
Practice Address - Phone:704-658-0595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001012855207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology