Carroll, Kathleen Leah
Carroll, Kathleen Leah is an individual health care provider with primary practice located at 113 Pleasant Valley Dr Ste 210 , Boerne TX 78006-5683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Carroll, Kathleen Leah can be contacted via phone (830) 267-4575.Contact Information
Primary practice address
113 Pleasant Valley Dr Ste 210
Boerne TX 78006-5683
Phone: (830) 267-4575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 516229 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP115115 | Texas |
Profile Details
| NPI number | 1477577567 |
|---|---|
| LBN Legal business name | Carroll, Kathleen Leah |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 5th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477577567 | NPPES |
| Texas | MEDICAID | 182691901 |
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