Provider Demographics
NPI:1013465814
Name:ZAHODNIK, KATHERINE TENELL (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:TENELL
Last Name:ZAHODNIK
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1342 ROSS AVE
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4233
Mailing Address - Country:US
Mailing Address - Phone:210-710-8044
Mailing Address - Fax:
Practice Address - Street 1:1900 PINE ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2432
Practice Address - Country:US
Practice Address - Phone:325-670-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant