Provider Demographics
NPI:1952693616
Name:KAHN, KATHERINE SADZEWICZ (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:SADZEWICZ
Last Name:KAHN
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 1:1801 HIGHWAY 99 N STE 2
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-9152
Mailing Address - Country:US
Mailing Address - Phone:541-488-4464
Mailing Address - Fax:541-857-2852
Practice Address - Street 1:691 MURPHY ROAD
Practice Address - Street 2:SUITE 122
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504
Practice Address - Country:US
Practice Address - Phone:541-722-5437
Practice Address - Fax:541-857-2852
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA00632208600000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208600000XAllopathic & Osteopathic PhysiciansSurgery