Provider Demographics
NPI:1437844479
Name:CATALDO, KAYLYNN (RN)
Entity Type:Individual
Prefix:
First Name:KAYLYNN
Middle Name:
Last Name:CATALDO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KAYLYNN
Other - Middle Name:
Other - Last Name:CONDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1496 W HOOSIER BLVD
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:IN
Mailing Address - Zip Code:46970-3727
Mailing Address - Country:US
Mailing Address - Phone:765-472-8907
Mailing Address - Fax:765-677-5175
Practice Address - Street 1:1496 W HOOSIER BLVD
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970-3727
Practice Address - Country:US
Practice Address - Phone:765-472-8907
Practice Address - Fax:765-677-5175
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28241508A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice