Individual
KATELYN HELEN DEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
810 S DURANGO DR STE 100, LAS VEGAS, NV 89145-2487
(702) 932-1300
Mailing address
4945 ALONDRA DR, LAS VEGAS, NV 89118-1128
(971) 732-6231
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO04138
ABC CERTIFICATION NUMBER
—
Enumeration date
03/20/2013
Last updated
09/19/2024
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