Provider Demographics
NPI:1710677893
Name:KATTE, KYRA (MA)
Entity Type:Individual
Prefix:
First Name:KYRA
Middle Name:
Last Name:KATTE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 WILFORD HALL LOOP, BLDG. 4554
Mailing Address - Street 2:59 MDW/GME JBSA LACKLAND
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78236-9908
Mailing Address - Country:US
Mailing Address - Phone:210-292-5972
Mailing Address - Fax:
Practice Address - Street 1:1100 WILFORD HALL LOOP, BLDG. 4554
Practice Address - Street 2:59 MDW/GME JBSA LACKLAND
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78236-9908
Practice Address - Country:US
Practice Address - Phone:210-292-5972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program