KATHARINE BERGART

JACKSON, WY
NPI1023465390
Former NameKATHARINE ENGELMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PA991)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WA  PA60805916)
Enumeration Date2016-05-17
Last Update Date2023-02-09
Business Address
KATHARINE BERGART
1415 S HWY 89
JACKSON, WY 83001-8515
Phone number: 307-739-8999
Mailing Address
KATHARINE BERGART
PO BOX 428
JACKSON, WY 83001-0428
Phone number: 307-739-8999