Individual
KATHLEEN JOANN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 N MOPAC EXPY, AUSTIN, TX 78759-8837
(512) 343-2292
Mailing address
8140 N MOPAC EXPY, AUSTIN, TX 78759-8837
(512) 343-2292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209009616
IL
390200000X
Student in an Organized Health Care Education/Training Program
121774
IA
Other
Enumeration date
03/03/2010
Last updated
05/25/2021
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