Provider Demographics
NPI:1023424785
Name:BEST, KATHRYN BLAIR (PA-C)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:BLAIR
Last Name:BEST
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 1:44 CIRCLE ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2509
Mailing Address - Country:US
Mailing Address - Phone:814-437-2191
Mailing Address - Fax:814-437-2264
Practice Address - Street 1:44 CIRCLE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2509
Practice Address - Country:US
Practice Address - Phone:814-437-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA004534363A00000X
PAMA056926363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant