Kathryn E Kelly, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1018 Issued in LA

Practice address

311 Church St
Natchitoches, LA 71457-4612

Phone

(318) 581-0128

NPI assigned

Dec 15, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Consulting

  • Psychologist
  • Natchitoches, LA
  • NPI 1598010845
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1407159353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CHURCH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574612",
            "telephone_number": "318-581-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CHURCH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574612",
            "telephone_number": "318-581-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen E Kautz M D Medical Corporation
• Kathleen Edna Kautz, M.D.
• Steven Michael Kautz, M.D.
• Quenton Kayd
• Randall Denison Keator II, O.D.
• Stephen Kemper, RPH
• Ben Keyser
• Stephen Kim, ATC
• Erin King, NCC, LPC
• Randol King

• All providers in Natchitoches, LA
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.