Diaz, Kathryn M.

Diaz, Kathryn M. is an individual health care provider with primary practice located at 2390 W Congress St , Lafayette LA 70506-4205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diaz, Kathryn M. can be contacted via phone (337) 261-6565.

Contact Information

Primary practice address
2390 W Congress St Lafayette LA 70506-4205
Phone: (337) 261-6565
Fax: (337) 261-6568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP04288 Louisiana

Profile Details

NPI number 1427032747
LBN Legal business name Diaz, Kathryn M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 9th, 2014 - about 12 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 1427032747 NPPES
Louisiana MEDICAID 1174459

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