KIM MARIE LATTERNER


Address: 115 Hickory Dr, Manchester, PA 17345-9502
Phone: 7172666784

KIM MARIE LATTERNER (NPI# 1356359889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356359889
Entity Type Individual
Full Name KIM MARIE LATTERNER
Other Name KIM MARIE MYERS
Credential PA-C
Practice Address 115 Hickory Dr
Manchester
PA 17345-9502
Practice Telephone 7172666784
Mailing Telephone 7172666784
Enumeration Date 2006-08-03
Last Update Date 2011-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant C0002815 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
MA001899L PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA GATEWAY-WMG 1565458 01
PA HIGHMARK BLUE SHIELD 1933965 01

Office Location

Street Address 115 HICKORY DR
City MANCHESTER
State PA
Zip Code 17345-9502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447798426 Mainline Urgent Care Medical Group Clinic/Center 4050 North George Street Ext, Manchester, PA 17345 2017-02-09
1710395751 Nicole Curtis Hearing Instrument Specialist 4316 N George S Suit 8, Manchester, PA 17345 2014-07-22
1629077474 Manchester Ambulance Club Ambulance 10 Devco Drive, Manchester, PA 17345 2005-07-14
1891922506 Danielle Nicole Campbell Family Medicine 235 Rosedale Dr, Manchester, PA 17345 2009-06-19
1295793123 Thomas G Roth Family Medicine 235 Rosedale Dr, Manchester, PA 17345-1022 2006-05-02
1902405194 Jennifer Lyn Small Occupational Therapist 235 Rosedale Dr, Manchester, PA 17345-1022 2020-10-20
1790304392 Michelle Benton Physical Therapy Assistant 235 Rosedale Dr, Manchester, PA 17345-1022 2020-04-14
1558980755 Corissa Borrell Occupational Therapy Assistant 235 Rosedale Dr, Manchester, PA 17345-1022 2020-04-09
1568091734 Rachael Miller Physical Therapy Assistant 235 Rosedale Dr, Manchester, PA 17345-1022 2020-04-08
1326677493 Heather Barr Speech-Language Pathologist 235 Rosedale Dr, Manchester, PA 17345-1022 2020-04-02
Find all providers in zip 17345

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356729487 Kelsey Wood Physician Assistant 574 Middle Turnpike East, Kelsey Wood, Manchester, CT 06040-3730 2015-05-08
1841626678 Evan Patrick Dyer Physician Assistant 1415 Hillsboro Blvd Ste 106, Manchester, TN 37355-2599 2013-09-25
1528313350 Stephanie Elaine Fangman Physician Assistant 709 W Main St Ste 3, Manchester, IA 52057-1526 2012-07-18
1932351673 Michael Anthony Ascenzia Physician Assistant 360 Tolland Tpke Ste 1a, Manchester, CT 06042-1759 2008-10-14
1780747519 Wendy Brown Jorgensen Physician Assistant 1053 Western Avenue, Manchester, ME 04351 2006-12-19
1770694945 Briana Marie Peterson Physician Assistant 574 E Middle Tpke, Manchester, CT 06040-3730 2006-08-31
1245249010 Holly Pelletier Physician Assistant 57 Webster St Ste 110, Manchester, NH 03104-2552 2006-08-07
1558396192 Nancy E. Kalinski Physician Assistant 102 Bay St, Manchester, NH 03104-3008 2006-07-12
1790787323 Paul Barlow Physician Assistant 1 Highlander Way Ste 4, Manchester, NH 03103-7404 2005-08-12
1669030177 Alexis Deitz Physician Assistant 574 Middle Tpke E, Manchester, CT 06040-3730 2019-05-30
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 17345

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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