Katie Janette Carillon, PAC
Katie Janette Carillon, PAC is a Physician Assistant in Maumelle, Arkansas. Qualified in 2011, 15 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.
- Years since qualifying
- 15
- Licensed in
- AR
- In the registry since
- 2012
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
1701 Club Manor Dr Ste 2BMaumelle, AR 72113-7401
Phone: (501) 843-4555
Fax: (501) 743-1550
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA468 (AR) |
|---|
Record details
| NPI number | 1649538679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | April 27, 2012 |
| Last updated in NPPES | September 20, 2024 |
| Certification date | September 20, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Arkansas Health Group — 645 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |