Provider Demographics
NPI:1548203391
Name:KATCHER, KELLY RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:RENEE
Last Name:KATCHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9127 W RUSSELL RD
Mailing Address - Street 2:STE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1253
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 CITYWEST BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2019-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036110671207L00000X
TXP5540207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01292155OtherRAILROAD MEDICARE
TX321781201Medicaid
TX8DT434OtherBLUE CROSS BLUE SHIELD
TX285153YK6UMedicare PIN