Vivian, Kathleen Mary
Vivian, Kathleen Mary is an sole proprietor health care provider with primary practice located at 4945 Williams Dr , Georgetown TX 78633-2008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vivian, Kathleen Mary can be contacted via phone (512) 819-0500.Contact Information
Primary practice address
4945 Williams Dr
Georgetown TX 78633-2008
Phone: (512) 819-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP114861 | Texas |
Profile Details
| NPI number | 1922166875 |
|---|---|
| LBN Legal business name | Vivian, Kathleen Mary |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Mar 1st, 2023 - about last year |
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 | 1922166875 | NPPES |
| Texas | MEDICAID | 3365025 |
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