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General NPI Number Information
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NPI Number | 1548203391
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Entity Type | Individual
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Provider Name | KELLY RENEE KATCHER M.D
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 7160 RAFAEL RIVERA WAY STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89113-5395
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Country | US
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Telephone | 888-339-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 2419 GRANADA BLUFF CT
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City | LAS VEGAS
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State | NV
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Zip | 89135-1340
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Country | US
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Telephone | 773-936-6440
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036110671
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 79605
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P5540
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 18574
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License Number State | NV
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