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1255453221 NPI number — KATHRYN R CONLY L.P.C.

NPI Number: 1255453221
Health Care Provider/Practitioner: KATHRYN R CONLY L.P.C.

Information about “1255453221” NPI (KATHRYN R CONLY L.P.C.) exists in 1255453221 in HTML format HTML  |  1255453221 in plain Text format TXT  |  1255453221 in PDF (Portable Document Format) PDF  |  1255453221 in an XML format XML  formats.

NPI Number : 1255453221 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255453221",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONLY",
    "FirstName": "KATHRYN",
    "MiddleName": "R",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WELDON",
    "OtherFirstName": "KATHRYN",
    "OtherMiddleName": "R",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "L.P.C.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "738 FM 2657",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIGGS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78608-1026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-686-1590",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "738 FM 2657",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRIGGS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78608-1026",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-686-1590",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/03/2007",
    "LastUpdateDate": "08/23/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "10114",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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