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Individual

KATHY ANN RAPPORT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R-EEG TECH

Contact information

Practice address
4100 W 15TH ST, STE 208, PLANO, TX 75093-5801
(972) 985-0498
(972) 599-1838
Mailing address
3330 EARHART DR, STE 206, CARROLLTON, TX 75006-4919
(972) 991-9950
(972) 991-9548

Taxonomy

Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
2253
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2253
R-EEG-T
TX
01
278
CNIH
TX
Enumeration date
06/21/2005
Last updated
07/08/2007
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