MEDICARE: LYNNE KATO PA-C

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	363A00000X	Physician Assistant	PA1699	NV

General Provider Information

NPI Number	:	1265898621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE KATO PA-C

Provider Business Mailing Address
First Line	:	8420 W WARM SPRINGS RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3624
Country	:	US
Telephone Number	:	702-740-5327
Fax Number	:	702-740-5328

Provider Business Practice Location Address
First Line	:	8420 W WARM SPRINGS RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3624
Country	:	US
Telephone Number	:	702-740-5327
Fax Number	:	702-740-5328

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

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	10/29/2024

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Directions to “ LYNNE KATO PA-C” Practice Location

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