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Individual

KATELYNN KALLODAYCHSAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
1345 PHILOMENA ST STE 362, AUSTIN, TX 78723-3210
(512) 324-5912
Mailing address
2105 COMAL ST, AUSTIN, TX 78722-2518
(512) 806-6099

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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