Provider Demographics
NPI:1447718002
Name:CATCHING, KAWANNA
Entity type:Individual
Prefix:
First Name:KAWANNA
Middle Name:
Last Name:CATCHING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 MISSOURI AVE APT 8C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-7248
Mailing Address - Country:US
Mailing Address - Phone:702-559-6200
Mailing Address - Fax:
Practice Address - Street 1:2415 REYNOLDS AVE STE 101
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-7278
Practice Address - Country:US
Practice Address - Phone:702-906-1999
Practice Address - Fax:702-906-1998
Is Sole Proprietor?:No
Enumeration Date:2019-03-03
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant