Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE JANETTE CARILLON, P.A.C.
ActiveKATIE JANETTE CARILLON, P.A.C. is a Medical Physician Assistant healthcare provider located in MAUMELLE, Arkansas. NPI 1649538679 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MAUMELLE, AR
Registration Details
- NPI Number
- 1649538679
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2012 (14.256252943037 yrs)
- Last Updated
- Sep 20, 2024
- License
-
PA468 (AR)
Practice Information
- Address
-
1701 CLUB MANOR DR STE 2BMAUMELLE, AR, 721137401Browse AR providers · Browse ZIP 72113
- Phone
- 5018434555
- Fax
- 5017431550
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.