Individual
KATHLEEN PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 FERGUSON DR, AUSTIN, TX 78753-3006
(512) 339-9757
Mailing address
305 FERGUSON DR, AUSTIN, TX 78753-3006
Taxonomy
Speciality
Code
Description
License number
State
163WR1000X
Reproductive Endocrinology/Infertility Registered Nurse
Primary
919849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345
—
TX
Enumeration date
03/31/2022
Last updated
03/31/2022
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