| Kitty Woo Ham, Fnp | |
|
9300 Cedar Crest Dr Austin TX 78750-2721 | |
| (512) 900-9668 | |
| Not Available |
| Full Name | Kitty Woo Ham, Fnp |
|---|---|
| Speciality | Family Medicine |
| Location | 9300 Cedar Crest Dr, Austin, Texas |
| Authorized Official Name and Position | Kitty Woo Ham (OWNER, PROVIDER) |
| Authorized Official Contact | 5127627089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitty Woo Ham, Fnp 9300 Cedar Crest Dr Austin TX 78750-2721 | Kitty Woo Ham, Fnp 9300 Cedar Crest Dr Austin TX 78750-2721 Ph: (512) 900-9668 |
| NPI Number | 1811712839 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811712839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
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