Healthcare Provider Details

I. General information

NPI: 1811226673
Provider Name (Legal Business Name): KATO CAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2009
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 1/2 N RIVERFRONT DR
MANKATO MN
56001-3453
US

IV. Provider business mailing address

722 1/2 N RIVERFRONT DR
MANKATO MN
56001-3453
US

V. Phone/Fax

Practice location:
  • Phone: 507-388-7433
  • Fax: 507-345-5062
Mailing address:
  • Phone: 507-388-7433
  • Fax: 507-345-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL HENDRYCKS
Title or Position: OWNER
Credential:
Phone: 507-388-7433