Kathryn Laraine Fordahl, PA is a
Physician Assistant based in Sonora, Texas. Kathryn Laraine Fordahl is licensed to practice in Texas (license number PA02145) and her current practice location is
301b Hudspeth Ave, Sonora, Texas. She can be reached at her office (for appointments etc.) via phone at
(325) 387-7911.
NPI number for Kathryn Laraine Fordahl is 1346310745 and her current mailing address is Po Box 877, Sonora, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346310745.
Provider's Profile
Full Name | Kathryn Laraine Fordahl |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 301b Hudspeth Ave, Sonora, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346310745
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 02/17/2010
Medical Identifiers
Medical identifiers for Kathryn Laraine Fordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346310745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA02145 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Laraine Fordahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathryn Laraine Fordahl, PA Po Box 877, Sonora, TX 76950 Ph: (325) 387-7911 | Kathryn Laraine Fordahl, PA 301b Hudspeth Ave, Sonora, TX 76950 Ph: (325) 387-7911 |
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