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NPI Code Detail

MEDICARE: KATHRYN A CLEMENT FNP-C

MEDICARE: KATHRYN A CLEMENT FNP-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
1363LF0000XFamily Nurse Practitioner610458TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1140451100OTHERTXFIRST CARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3140451100OTHERTXSOUTHWEST LIFE & HEALTH

General Provider Information

NPI Number : 1811907371
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN A CLEMENT FNP-C
Provider Business Mailing Address
First Line : 6938 WALZEM RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78239-3641
Country : US
Telephone Number : 210-969-7400
Fax Number :
Provider Business Practice Location Address
First Line : 6938 WALZEM RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78239-3641
Country : US
Telephone Number : 210-969-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 04/13/2026

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Directions to “ KATHRYN A CLEMENT FNP-C” Practice Location

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