MEDICARE: DR. LINDA KATHLEEN KATZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	35266	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180045912	OTHER	KY	RAILROAD MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7750007	OTHER	KY	AETNA PROVIDER ID
4	000000240538	OTHER	KY	ANTHEM 12 DIGIT ID
5	42293	OTHER	KY	DAVIS VISION PROVIDER ID

General Provider Information

NPI Number	:	1053315705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA KATHLEEN KATZ M.D.

Provider Business Mailing Address
First Line	:	100 JOHN SUTHERLAND DR
Second Line	:	STE 3
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-2424
Country	:	US
Telephone Number	:	859-881-1400
Fax Number	:	859-881-3489

Provider Business Practice Location Address
First Line	:	100 JOHN SUTHERLAND DR
Second Line	:	STE 3
City	:	NICHOLASVILLE
State	:	KY
Zip	:	40356-2424
Country	:	US
Telephone Number	:	859-881-1400
Fax Number	:	859-881-3489

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/11/2010

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Directions to “ DR. LINDA KATHLEEN KATZ M.D.” Practice Location

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