Provider Demographics
NPI:1659133429
Name:HOOD, KATANDRA L (CPT)
Entity Type:Individual
Prefix:
First Name:KATANDRA
Middle Name:L
Last Name:HOOD
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 REO LANE RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:MS
Mailing Address - Zip Code:39652-2011
Mailing Address - Country:US
Mailing Address - Phone:601-810-6203
Mailing Address - Fax:
Practice Address - Street 1:1102A DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-4036
Practice Address - Country:US
Practice Address - Phone:013-240-0926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty