Kaylyn M Kato, DO

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Offutt Afb, NE

NPI 1992494082 · NPPES record last updated Jun 10, 2024

Key facts

NPI
1992494082
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone
(402) 294-2056
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241001004375 NE Order and Referring Only - Family Practice
Practitioner - Family Practice
0244761252

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Mailing address

2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone (402) 294-2056

Other providers in Offutt Afb, NE

All providers in Offutt Afb, NE · Student in an Organized Health Care Education/Training Program in Nebraska

Sources for this page

Verify at the official NPI Registry.