Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | COA.11629-NP | OH |
NPI | 1003122094 |
---|---|
Provider Name | Kathleen M Adkins |
First Address | Loveland, OH 45140-6966 |
Second Address | Washington Court House, OH 43160-1992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2010 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3107097 | (05) | OH |