Provider Demographics
NPI:1164191557
Name:ARNOLD, KATELYN ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:ANN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:MCHUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6106 E STATE ROAD 240
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-7998
Mailing Address - Country:US
Mailing Address - Phone:317-965-8264
Mailing Address - Fax:
Practice Address - Street 1:6106 E STATE ROAD 240
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-7998
Practice Address - Country:US
Practice Address - Phone:317-965-8264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant