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Individual

KATHERINE JOAN NIELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2023 VIA VINEDA, SAN ANTONIO, TX 78258-4519
(210) 241-8968
Mailing address
2023 VIA VINEDA, SAN ANTONIO, TX 78258-4519
(210) 241-8968

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
346742-1205
UT
2084P0802X
Addiction Psychiatry Physician
346742-1205
UT

Other

Enumeration date
11/28/2023
Last updated
11/28/2023
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