DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE JO GENTRY, PA

Active

KATIE JO GENTRY, PA is a Surgical Physician Assistant healthcare provider located in LAFAYETTE, Indiana. NPI 1083940308 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · LAFAYETTE, IN

Registration Details

NPI Number
1083940308
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2009 (16.810496845902 yrs)
Last Updated
Mar 17, 2025
Licenses
50.002982 (OH)
50.002983 (OH)
10001475A (IN)

Practice Information

Address
1345 UNITY PL STE 235
LAFAYETTE, IN, 479055761
Browse IN providers · Browse ZIP 47905
Phone
7654465065
Fax
7654465170
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in LAFAYETTE, IN

Name Credential NPI
ALICIA PATE PA 1457358913
SARAH E WILSON PA 1073536397
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.