Provider Demographics
NPI:1265883649
Name:LINKE, KATHLEEN ANN (PA-C)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ANN
Last Name:LINKE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1003 E FLORIDA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4510
Mailing Address - Country:US
Mailing Address - Phone:951-652-2252
Mailing Address - Fax:951-658-6476
Practice Address - Street 1:1003 E FLORIDA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4510
Practice Address - Country:US
Practice Address - Phone:951-652-2252
Practice Address - Fax:951-658-6476
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-08-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant