Provider Demographics
NPI:1497155253
Name:HUETHER, KATE ELIZABETH (AA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:ELIZABETH
Last Name:HUETHER
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Gender:F
Credentials:AA-C
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Mailing Address - Street 1:1775 W HIBISCUS BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-2620
Mailing Address - Country:US
Mailing Address - Phone:321-837-3820
Mailing Address - Fax:321-837-3654
Practice Address - Street 1:1775 W HIBISCUS BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-2620
Practice Address - Country:US
Practice Address - Phone:321-837-3820
Practice Address - Fax:321-837-3654
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2016-03-22
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Provider Licenses
StateLicense IDTaxonomies
FL222367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant