Provider Demographics
NPI:1164712071
Name:CASHMAN, KATELIN CORNELL (PA-C)
Entity Type:Individual
Prefix:
First Name:KATELIN
Middle Name:CORNELL
Last Name:CASHMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PRIMROSE ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-2659
Mailing Address - Country:US
Mailing Address - Phone:978-469-7100
Mailing Address - Fax:978-469-7199
Practice Address - Street 1:600 PRIMROSE ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830
Practice Address - Country:US
Practice Address - Phone:978-469-7100
Practice Address - Fax:978-469-7199
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2019-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4681363AM0700X
NH0822363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical