Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Haker, PA

Individual provider Physician Assistant · NPI 1487030623

Katelyn Haker, PA is a Physician Assistant in Latham, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Phone: (518) 348-3176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-1326

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018923 (NY)

Record details

NPI number1487030623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 10, 2015
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address13 Cornell Rd Ste 2, Latham, NY 12110-1425

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