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Contact Information

KATHRYN M LEWIS, MD
4920 N.E. STALLILNGS DRIVE
NACOGDOCHES, TX75961
 Phone: 936-568-3493
 Fax: 281-548-3513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KATHRYN M LEWIS · (Female)

NPI # 1215920640
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 11/16/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # H0564
  • TX Medicaid 032010301
Hospital affiliation(s)
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
  • ST JOSEPH MEMORIAL HOSPITAL - (Critical Access)
    2 SOUTH HOSPITAL DRIVE
    MURPHYSBORO, IL 62966
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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