MEDICARE: DEBRA ANN KATZ MD

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	2084P0800X	Psychiatry Physician	32106	KY
2	2084P0804X	Child & Adolescent Psychiatry Physician	32106	KY

General Provider Information

NPI Number	:	1942383237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA ANN KATZ MD

Provider Business Mailing Address
First Line	:	620 E EUCLID AVE
Second Line	:	SUITE 210
City	:	LEXINGTON
State	:	KY
Zip	:	40502-6429
Country	:	US
Telephone Number	:	859-537-7152
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 E EUCLID AVE
Second Line	:	SUITE 210
City	:	LEXINGTON
State	:	KY
Zip	:	40502-6429
Country	:	US
Telephone Number	:	859-537-7152
Fax Number	:

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	02/04/2013

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