Provider Demographics
NPI:1992007728
Name:KAUT, KATHERINE JOY (RN, ANP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JOY
Last Name:KAUT
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 SAN BENITO CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5453
Mailing Address - Country:US
Mailing Address - Phone:512-200-6360
Mailing Address - Fax:
Practice Address - Street 1:1180 SETON PKWY
Practice Address - Street 2:SUITE 330
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6178
Practice Address - Country:US
Practice Address - Phone:512-551-0846
Practice Address - Fax:512-828-8785
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX681048363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health