Provider Demographics
NPI:1952539389
Name:BURGER, KATELIN M (PA)
Entity Type:Individual
Prefix:
First Name:KATELIN
Middle Name:M
Last Name:BURGER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:446 NATCHEZ ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1806
Mailing Address - Country:US
Mailing Address - Phone:724-933-1100
Mailing Address - Fax:724-933-1160
Practice Address - Street 1:56 CLUB LN
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-7957
Practice Address - Country:US
Practice Address - Phone:724-459-6560
Practice Address - Fax:724-459-3475
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
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Provider Licenses
StateLicense IDTaxonomies
PAMA053881363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant