Provider Demographics
NPI:1861199887
Name:HERBST, KATHERINE J (PA-C)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:J
Last Name:HERBST
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4721 CHACE CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3700
Mailing Address - Country:US
Mailing Address - Phone:205-823-0151
Mailing Address - Fax:205-823-5218
Practice Address - Street 1:4721 CHACE CIR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3700
Practice Address - Country:US
Practice Address - Phone:205-823-0151
Practice Address - Fax:205-823-5218
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical