Autrey, Kathryn M.

Autrey, Kathryn M. is an individual health care provider with primary practice located at 12174 N Mopac Expy Ste A , Austin TX 78758-2910. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Autrey, Kathryn M. can be contacted via phone (512) 994-2662.

Contact Information

Primary practice address
12174 N Mopac Expy Ste A Austin TX 78758-2910
Phone: (512) 994-2662
Fax: (512) 406-6202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 427 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP129827 Texas

Profile Details

NPI number 1013919257
LBN Legal business name Autrey, Kathryn M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 11th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013919257 NPPES
Texas MEDICAID 380935201
Texas MEDICAID 380935202
Texas MEDICAID T8776

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