Provider Demographics
NPI:1114526431
Name:AARON, KATIE KRISTEN (CSFA)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:KRISTEN
Last Name:AARON
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 CAYLA ST
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-8791
Mailing Address - Country:US
Mailing Address - Phone:843-830-9908
Mailing Address - Fax:
Practice Address - Street 1:1703 CAYLA ST
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-8791
Practice Address - Country:US
Practice Address - Phone:843-830-9908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical