Kathryn Zalla
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Villa Hills, KY
NPI 1639969009 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1639969009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1018 Colina Dr
Villa Hills, KY 41017-5322 - Phone
- (859) 426-7351
- NPI assigned
- May 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260604001533 | TN | Order and Referring Only - Dermatology |
8921579509 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1018 Colina Dr
Villa Hills, KY 41017-5322
Mailing address
1018 Colina Dr
Villa Hills, KY 41017-5322
Other providers in Villa Hills, KY
- Heather Leigh Ratliff
- Lauren C Schneider
- Stephanie J Silber
- Speech With Stephanie
- Austin Venegas Ponce'
All providers in Villa Hills, KY · Student in an Organized Health Care Education/Training Program in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.