SearchPennsylvania363A00000X

Kourtney Gates, PA-C

NPI 1669155933 · on the registry since 2023

Practice

Address
100 Susan Dr
Johnstown, PA 15905
Phone
(814) 255-1963
Organisation at this address
Icare Medical
Safouh Malhis Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363A00000X
Licence states on file
FL, PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania