Provider Demographics
NPI:1891444261
Name:BEYER, KATHERINE ANN (DO)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:BEYER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 S JOHNSON ST FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2238
Mailing Address - Country:US
Mailing Address - Phone:504-412-1580
Mailing Address - Fax:
Practice Address - Street 1:478 S JOHNSON ST FL 7
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2238
Practice Address - Country:US
Practice Address - Phone:504-412-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2585894Medicaid