Individual
DR. KATIE LYNN CANALICHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
MD60830944
WA
2088P0231X
Pediatric Urology Physician
Primary
V9568
TX
208D00000X
General Practice Physician
MD60830944
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
09/03/2025
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