Individual
KATELEN KORTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
S9173
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
S9173
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
07/25/2024
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