Provider Demographics
NPI:1225474224
Name:MANNO, KATHERINE SUE (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SUE
Last Name:MANNO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:850 HARVARD WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2055
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-5496
Practice Address - Street 1:6536 S MCCARRAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6152
Practice Address - Country:US
Practice Address - Phone:775-982-5595
Practice Address - Fax:775-982-4774
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
NV17213207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology