Provider Demographics
NPI:1194192807
Name:GUTHRIE, KHARRI (PA)
Entity Type:Individual
Prefix:
First Name:KHARRI
Middle Name:
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KHARRI
Other - Middle Name:
Other - Last Name:HOLLLINGSHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 BEVINS LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-6120
Mailing Address - Country:US
Mailing Address - Phone:502-868-0622
Mailing Address - Fax:502-868-9097
Practice Address - Street 1:210 BEVINS LN
Practice Address - Street 2:SUITE C
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-6120
Practice Address - Country:US
Practice Address - Phone:502-868-0622
Practice Address - Fax:502-868-9097
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant