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Individual
KATHRYN WYATT
Active
Individual
KATHRYN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AP128971
TX
363LN0000X
Neonatal Nurse Practitioner
AP128971
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
SP036444
PA
Other
Enumeration date
09/21/2015
Last updated
08/28/2026
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