Mrs. Kathy Lynn Hagerman
Nurse Practitioner - Pediatrics
221 3rd St W
Randolph Afb
, Texas 78150-4800
Mrs. Kathy Lynn Hagerman
Nurse Practitioner - Pediatrics
221 3rd St W
Randolph Afb
, Texas 78150-4800
(210) 651-9682
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Kathy Lynn Hagerman
- 23864 Cibolo Vw
- San Antonio, TX
- Zip : 78266-1760
- Phone : (210) 651-9682
Second Address
- Mrs. Kathy Lynn Hagerman
- 221 3rd St W
- Randolph Afb, TX
- Zip : 78150-4800
- Phone : (210) 652-2543
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP116209 | TX |
National Provider Identifier
| NPI | 1023003324 |
|---|---|
| Provider Name | Mrs. Kathy Lynn Hagerman |
| First Address | San Antonio, TX 78266-1760 |
| Second Address | Randolph Afb, TX 78150-4800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 06/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.