Provider Demographics
NPI:1376741603
Name:CAYETANO, KATHERINE TS (MD)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:TS
Last Name:CAYETANO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3900 S ZINTEL WAY
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-942-2268
Practice Address - Street 1:1100 GOETHALS DRIVE, THIRD FLOOR
Practice Address - Street 2:KADLEC CLINIC PULMONARY & CRITICAL CARE
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-942-3095
Practice Address - Fax:509-942-3266
Is Sole Proprietor?:No
Enumeration Date:2007-07-09
Last Update Date:2021-05-03
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Provider Licenses
StateLicense IDTaxonomies
WAMD60322666207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500660299Medicaid
WA1376741603Medicaid
WAG8919250Medicare PIN