Hagerman, Kathy Lynn

Hagerman, Kathy Lynn is an individual health care provider with primary practice located at 221 3Rd St W , Randolph Afb TX 78150-4800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hagerman, Kathy Lynn can be contacted via phone (210) 652-2543.

Contact Information

Primary practice address
221 3Rd St W Randolph Afb TX 78150-4800
Phone: (210) 652-2543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP116209 Texas

Profile Details

NPI number 1023003324
LBN Legal business name Hagerman, Kathy Lynn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Apr 6th, 2018 - about 6 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.

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