Provider Demographics
NPI:1134003387
Name:ZEIGER, KATELYN SUE (PA-C)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:SUE
Last Name:ZEIGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:SUE
Other - Last Name:ZEIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:1520 S MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2643
Mailing Address - Country:US
Mailing Address - Phone:937-461-5815
Mailing Address - Fax:
Practice Address - Street 1:1520 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2699
Practice Address - Country:US
Practice Address - Phone:937-461-5815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant