Provider Demographics
NPI:1013017961
Name:TORRES, CATHERINE DIANE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:DIANE
Last Name:TORRES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 W LONG ST
Mailing Address - Street 2:
Mailing Address - City:DIGHTON
Mailing Address - State:KS
Mailing Address - Zip Code:67839-5700
Mailing Address - Country:US
Mailing Address - Phone:620-397-5316
Mailing Address - Fax:620-397-2264
Practice Address - Street 1:444 W LONG ST
Practice Address - Street 2:
Practice Address - City:DIGHTON
Practice Address - State:KS
Practice Address - Zip Code:67839-5700
Practice Address - Country:US
Practice Address - Phone:620-397-5316
Practice Address - Fax:620-397-2264
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ55164208D00000X
KS04-12345208D00000X
NM95360208000000X
OK17696208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMH4195Medicaid