NPI 1003362989

Katie L Tichenor, PAC

Practitioner Physician Assistant Torrington, CT

Practice location

Address: 780 Litchfield St, Torrington, CT 06790
Phone: (860) 482-8578

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3641 (CT)

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Registry record

NPI: 1003362989
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2016
Record last updated: 30 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.