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Kathryn Werner, PA-C, PC

Branch

Details

Name: Kathryn Werner, PA-C, PC
Jurisdiction: Alabama
Legal type: Foreign Professional Corporation
Status: Exists
Date of registration: 30 Apr 2020 (5 years ago) (Companies founded in April 2020)
Entity Number: 000-633-599
Register Number: 000633599
Branch of: Kathryn Werner, PA-C, PC (Company Number 3537105) (Idaho)
ZIP code: 36067 (Companies in Autauga, 36067)
County: Autauga
Place of Formation: Idaho
Registered Office Street Address: 212 W TROY ST STE BDOTHAN, AL 36303
Principal Address: 2008 WYNFIELD DRPRATTVILLE, AL 36067

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376162263 2020-04-10 2020-04-10 2008 WYNFIELD DR, PRATTVILLE, AL, 360677157, US 2008 WYNFIELD DR, PRATTVILLE, AL, 360677157, US

Contacts

Phone +1 731-437-1993

Authorized person

Name MRS. KATHRYN WERNER
Role PHYSICIAN ASSISTANT
Phone 7314371993

Taxonomy

Taxonomy Code 363A00000X - Physician Assistant
Is Primary Yes

Agent

Name Role Address
REGISTERED AGENTS INC Agent 212 W. TROY ST. STE BDOTHAN, AL 36303

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State