Kathleen Redden, PA-C is a
Physician Assistant based in Ft. Bliss, Texas. Kathleen Redden is licensed to practice in Oklahoma (license number 1282) and her current practice location is
Bldg 2496 Ricker Road, Sfmc, Ft. Bliss, Texas. She can be reached at her office (for appointments etc.) via phone at
(915) 569-2930.
NPI number for Kathleen Redden is 1104828524 and her current mailing address is 910 E Redd Rd, #k522, El Paso, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104828524.
Provider's Profile
| Full Name | Kathleen Redden |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | Bldg 2496 Ricker Road, Ft. Bliss, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104828524
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kathleen Redden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104828524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1282 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Redden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Redden, PA-C
910 E Redd Rd, #k522,
El Paso, TX 79912-7359
Ph: () - | Kathleen Redden, PA-C
Bldg 2496 Ricker Road, Sfmc,
Ft. Bliss, TX 79916
Ph: (915) 569-2930 |
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